Abstract
Key Clinical MessageVenomous snake bites can be life threatening, occasionally requiring intensive care. For Mamushi bites, conservative treatment may be possible in mild cases but for severe cases or in cases where symptoms do not improve, a horse‐derived antivenom is indicated.
Highlights
An otherwise healthy 84-year-old man was bitten by a Japanese Mamushi (Gloydius blomhoffii) on his left middle finger (Fig. 1A)
Corresponding to a severity of Grade III - V (Severe) using a classification employed in Japan [1], he was given two doses of antivenom intravenously, after which his swelling and pain gradually receded
YO and SK: had advisory roles in the management of the patient
Summary
Received: 2 March 2017; Revised: 10 June 2017; Accepted: 21 June 2017 An otherwise healthy 84-year-old man was bitten by a Japanese Mamushi (Gloydius blomhoffii) on his left middle finger (Fig. 1A). The swelling (and pain) was limited to his left hand, and laboratory data showed no abnormalities.
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