Signs and Symptoms
| 1. Neurotoxicity. There appears to be definite neurotoxicity as a major clinical feature of the envenomation. Return to this step. |
| 2. Rhabdomyolysis. There are definite signs and or symptoms of rhabdomyolysis, such as myalgia or myoglobinuria. Return to this step. |
| 3. Coagulopathy. The INR is extended, and the fibrinogen level is significantly below the reference range, indicating procoagulant activity. Return to this step. |
Likely species:
Coastal Taipan. The major effect seen in typical taipan envenomation is the neurotoxicity. Components of the venom are procogulant. Rhabdomyolysis may be a lesser feature.
Tiger Snakes. Tiger snake envenomations are relatively common. Neurological involvement and procoagulant activity are typical, and rhabdomyolysis frequently manifests later.
Rough-Scaled Snake. Envenomation by the rough-scaled or Clarence River snake presents similar signs and symptoms to that of tiger snakes.
Inland Taipan. Inland taipans, or fierce snakes, in the wild rarely bite humans, simply because contact is rare. Neurotoxicity and procoagulant activity are typical of envenomation by this species. Rhabdomyolysis is often but not always a feature.
Last updated: July 2005
