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 is no evidence that rhabdomyolysis is a feature of the envenomation. Myalgia or myoglobinuria are not present. 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:
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.
Eastern Brown Snake. The prominent feature of eastern brown snake envenomation is coagulopathy caused by procoagulant venom components. Sometimes, the neurotoxic effects of the venom are of clinical significance, although not usually. Myolytic activity is unknown.
Last updated: July 2005
