Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
Exotic snakes are not always found in exotic places: how poison centres can assist emergency departments
Pittsburgh Poison Center, University of Pittsburgh Medical Center, Schools of Pharmacy and Medicine, University of Pittsburgh, Pennsylvania, USA
Correspondence to:
Edward P Krenzelok, krenzelokep{at}upmc.edu
Emergency departments throughout the USA may have some familiarity with the management of envenomation from indigenous snake species such as Crotalinae (rattlesnakes) and Micrurus (coral snakes). However, venomous species may include exotic reptiles whose bites pose substantial treatment challenges due to both a lack of experience and the difficulty in obtaining antivenoms. Two pet cobra envenomation incidents illustrate the challenges that face emergency departments, especially in urban settings, that are confronted with these exposures. It is important for emergency departments to be aware of the large underground presence of exotic venomous reptile pets and to utilise the expertise of regional poison centres that will also assist in the procurement of exotic antivenoms.
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