To the Editor: In the study presented by Simon and Grace concerning coagulopathy and tissue necrosis in rabbits (August 20 issue),* a general conclusion of “surgical debridement and mechanical removal of venom and local necrotic tissue” cannot be an easy parallel to accept for the patient with a rattlesnake bite. Local swelling is often massive, and bites frequently involve the fingers. The simple removal of a depot of venom in most rattlesnake bites may result in greater deformity and injury than that resulting from the usual treatment with antivenin. The geographic variation of North American crotalidae in both species and.
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