Description: 5 vials of antivenom administered for this bite. Photo courtesy of VenomousReptiles.org.
Description: 10 days post Egyptian cobra (Naja haje) bite. Photo courtesy of VenomousReptiles.org
#1/Description: Copperhead snake (Agkistrodon contortrix) bite on thumb after two days on a seven-year-old girl. Photo courtesy of VenomousReptiles.org.
#2/Description: Copperhead snake bite on finger.
#3/Description: Copperhead vs. Dog. Photo courtesy of VenomousReptiles.org.
Description: This is a Cottonmouth snake (Agkistrodon piscivorus) bite at 21 days. Photo courtesy of VenomousReptiles.org.
Hagen’s pit viper
Description: Envenomation by Hagen’s pit viper (Trimeresurus hageni). There is no known antivenom. Patient care is supportive and local tissue damage is likely. Photo courtesy of VenomousReptiles.org.
Indian Cobra (Naja Naja)
Description: In Sri Lanka, a professional snake handler was bitten by a larger than six-foot Indian cobra on the hand. He was bitten three times and stopped breathing within three minutes. He was pedaled to the hospital on bike by a friend. He was placed on a ventilator and treated with 29 vials Indian Bharat AV. He had a very slow recovery from local wound damage and required skin grafts. Photo and information courtesy of Daniel Keyler.
Monocled cobra (Naja kaouthia)
Description: A bite from Monocled cobra (Naja kaouthia). This photo was taken five weeks after envenomation. This picture shows results after the operation. Photo courtesy of VenomousReptiles.org.
Description: A 4 1⁄2-year-old boy from Los Angeles was visiting Tuscany, Italy with family. While playing outside, his parents heard him crying and found him holding his right index finger in pain. Two red, bloody marks were observed, and it was presumed a snake had bitten him. They cleansed the wound, and after 30 minutes they noticed that he began to appear tired, with poor eye contact and delayed response to voice. They drove 1.5 hours to an urgent care facility, described the incident to the triage nurse. After about 45 minutes, his condition deteriorated further, with significantly decreased responsiveness to voice, staring straight ahead, and drooping eyelids. An ambulance arrived after 60 minutes and then drove another 60 minutes to a hospital in Florence. Upon arrival, he was lethargic, with ptosis, nystagmus, a mild tremor in both upper extremities, and hypotension. He was administered intravenous fluids and 2 vials of antivenom (ViperaTab®) on presumed envenomation by a European Asp. Additionally, he was started on a twice-daily course of intravenous hydrocortisone. On the morning of Day 2, the right hand began to swell significantly. On Day 4, the patient began a 4-day course of prophylactic low- molecular weight heparin, a decision which was queried by various toxicologists and other experts from abroad, who were contacted by the mother for unofficial consultation. The full course of heparin was administered, and hydrocortisone was also continued throughout his hospital course. No antivenom was administered beyond the 2 vials. He was discharged on the evening of Day 7. Upon returning home, he had full range of motion, minimal pain, no swelling, and mild tenderness with grasping. Several days later, he developed urticaria, itching, and swelling over the affected finger, with no pain, tenderness, or decreased range of motion. This finding self-resolved over approximately one week. Photo and information courtesy of Daniel Keyler.
#1-3/Description: Prairie rattlesnake (Crotalus viridis viridis) bite. This bite victim is reported to have been hunting non-venomous Bullsnakes and grabbed a six foot Prairie rattlesnake by mistake! You can see the fang punctures on the back of hand and at the base of palm. There is visible swelling up to mid-forearm. This bite occurred about 5:00 pm and the victim reached the Emergency Room by 5:45 pm for treatment. Photo courtesy of VenomousReptiles.org
#4/Description: A photograph of a Southeastern Georgia cat. It was well on the road to recovery by the time this photo was taken. It had been bitten by a “small rattlesnake” and had lost most of its fur and much tissue and skin. The skin blackened and cracked and had to be cut away. The cat survived with only some generic Benedryl-like medication. Photo courtesy of VenomousReptiles.org
#5/Description: This was a one-fang bite on the ring finger from a Western diamondback rattlesnake (Crotalus atrox). Submitted by Donald Schultz on 03/04/02
#6-9/Description: Western Massasauga rattlesnake bite. A Zookeeper was bitten on the middle finger, left hand by Western Massasauga rattlesnake (Sistrurus catenatus). Patient had a total of 24 vials CroFab antivenin while in the hospital. Despite attempts at saving finger it had to be amputated. Photo and information courtesy of Daniel Keyler.
Elegant Pit Viper
Description: This is a bite from an Elegant pitviper (Protobothrops elegans). The patient required a fasciotomy to relieve the pressure from swelling at the wound site and restore circulation.
Puff Adder Bite
Description: Bite from a young puff adder. Subject was able to keep finger and no anti-venom was used. The finger is disfigured a bit, but subject still has fingernail and full use of finger. Photo courtesy of VenomousReptiles.org.
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