1. Department of Dermatology, Aso Iizuka Hospital, Iizuka, Japan;
2. Department of Intensive Care Medicine, Aso Iizuka Hospital, Iizuka, Japan;
3. Department of Paediatrics, Aso Iizuka hospital, Iizuka, Japan;
4. The Japan Snake Institute, Gunma, Japan;
5. Department of Dermatology, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan