most common injury from snake bites is the local wound.
Proteases and lipases in the venom damage tissue locally.
Hemolytic toxin --> hemolysis and DIC
Neurotoxin --> resp: paralysis, ptosis, diplopia, and dysphagia
NO tourniquets, NO ice, NO incision and suction esp by mouth
sudden sharp pain
| Black widow: | Brown recluse: | |
|---|---|---|
| Presentation | abd pain, muscle pain | local skin necrosis, bullae, and blebs |
| Lab test abnormalities | may show hypocalcemia | None |
| Treatment | calcium and antivenin | debridement, steroids, and dapsone. |
Pathogens: mainly Pasteurella multocida and P. canis
often mixed with Staph., Strep. and Capnocytophaga canimorsus
Rx
Co-amoxiclav 625 mg TDS
Pathogens Eikenella corrodens
Tx:
Amoxi-clav and dT
Rabies vaccine only if: