Introduction:
Snake bite is a common and very important issue threatening health in
different parts of the world, including Iran [1]. The clinical
manifestations of snake bites are varying and depend on many factors,
including the species of snake, the amount and strength of the venom
injected, the location of the bite, and the patient’s own factors, such
as age, the underlying disease [2].
Wound infections following snake bites such as cellulitis and
necrotizing fasciitis, although not common, [3-5] are seen in the
bites of snakes and if untreated can cause serious complications such as
necrotizing fasciitis, extensive local tissue damage and progressive
sepsis that can be associated with acute renal failure (ARF),
thrombocytopenia, and coagulopathy; [2] although standard anti-venom
treatment can reduce the toxic hemorrhagic or neurotoxic effects of
venom,[6-8] the progression of compartment syndrome and bacterial
tissue infection cannot be prevented by anti-venom treatment [9,10]
and requires emergency surgical procedures such as fasciotomy or
amputation and broad-spectrum antibiotics and hospitalization in the
intensive care unit [3,7,11,12].
On the other hand, in some cases of snake bites, the patient does not
notice the bite and after a while suffers from local symptoms and
sometimes systemic complications that if not diagnosed and treated in
time can lead to massive complications and injuries that will complicate
the treatment. Thus, we describe a rare case of wound infection with
hemorrhagic and non-hemorrhagic blisters following snakebite.