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A 20-year-old Papua New Guinean male developed neuromuscular paralysis following a bite by a death adder (Acanthophis antarcticus). Ptosis persisted despite otherwise effective anti-venom therapy. The ptosis clinically resembled myasthenia gravis and improved after intravenous edrophonium. The role of anticholinesterase drugs in snake bite management is discussed.
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Bernard Hudson (1988) studied this question.
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