Interesting article

[liv]

Found this at work this morning and thought it was interesting enough to share
http://www.sciencedirect.com/science...41010109002220

[wilomn]

They want 31.50 to read the article. If it's the one I think it is, the person bitten let the snake chew him for a significant amount of time, something most people would not do.

Could you copy and paste the article?

[liv]

Oops, I forgot that I get access to things for free at the university!
Basically it outlined how bad a reaction to a hognose bite can be.
Here are the images that were in the study:
http://ars.els-cdn.com/content/image...002220-gr2.jpg
http://ars.els-cdn.com/content/image...002220-gr3.jpg

EDIT: The animal was on her for 3-5 minutes.
I'll try to find a free version and post it.

[TJ_Burton]

The abstract gives you a general idea, but without reading the whole artical I don't get the full experience...

You should post up some key quotes from the body of the publication.

[KMG]

This is different from the guy who let one chew on his finger. This one said it got the guys arm during feeding.

[liv]

Local envenoming by the Western hognose snake (Heterodon nasicus): A case report and review of medically significant Heterodon bites. S. Weistein and D. Keyler.
"2. Case Report
A 21-year-old female presented to an emergency department approximately 3–4 h after sustaining a bite on the left anticubital fossa from a captive young adult (approximately 45 cm, total length) Western hognose snake, H. nasicus. The patient had no prior history of Heterodon bites. The snake was a long-term captive in a university biology department collection, and she was bitten while feeding the snake a small mouse. She reported that the snake maintained a grip on the arm for approximately 3–5 min and had to be removed by manual force (the jaws were pried open by forcible lifting of the maxilla via the snout). The resulting punctures bled freely for several minutes following the bite. During the first 3 h following the bite, she experienced no appreciable pain or swelling. She later reported that the swelling noticeably increased several hours after the bite, and thus sought local medical attention. Tetanus immune status was confirmed and 1.0 g of ceftriaxone, i.v. was administered. Edema of the left arm increased and expanded and, due to concerns of medical personnel unfamiliar with snakebites, the patient was transferred to a Level I trauma center. Upon arrival, toxicology consultation was obtained. Approximately 5 h after the incident, noted was edema involving the left elbow extending to the wrist, mild ecchymosis and two clearly defined punctures proximal to the anticubital fossa. The patient's laboratory results (including complete blood profile, comprehensive metabolic profile and basic coagulation tests) all were within normal limits on presentation. She complained of mild pain associated with the increased tension of the edema. Following admission, she remained stable and all laboratory tests remained unremarkable. On examination 24 h after the bite, the patient's left arm exhibited marked edema and lymphadenopathy (Fig. 2, upper panel). At 48 h, blister formation both distal and proximal to the bite involving the left anticubital fossa and lateral–ventral wrist was observed (Fig. 2, lower panel). The patient was discharged with a prescribed regimen of diphenhydramine. Shortly after discharge (approximately 30 h after the bite), she followed-up with her primary care physician and aspirate was obtained from several blisters and sent for culture/sensitivity. This aspirate remained culture negative. The patient received local wound care, amoxicillin/clavulanate (875 mg, p.o., twice per day) was prescribed and desloratidine was substituted for the diphenhydramine. Acetominophen/hydrocodone (500/5 mg) as needed was prescribed due to left arm pain encountered during positioning for sleep. She also noted stiffness in her left wrist and digits. The blisters drained quantities of serous discharge that required regular multiple changes of wound dressings. Review at 72 h post-bite showed reduced edema, ecchymosis and an increased zone of erythema suggestive of cellulitis (Fig. 3, upper panel). At 96 h post-envenoming, noted were persistent edema of the left hand, ecchymosis and blistering of the medial-ventral left arm (Fig. 3, lower panel). Twenty-eight days after the incident, the patient reported pruritis of the left forearm with reduced ecchymoses and resolving blisters. The edema, pruritis and stiffness improved during the following two weeks. At ten weeks post-envenoming, multiple milia were observed at the wound site, most notably at the wound margin. Healing was complete at five months."
http://ars.els-cdn.com/content/image...002220-gr2.jpg
http://ars.els-cdn.com/content/image...002220-gr3.jpg

This is the case study from the article to go with the images I linked. The rest of the article needs the reference tables to make any sense.

EDIT: linked the pics I posted above here for easier reference.