Envenomation Coagulopathy from Snake Bites

Alfred N. Butner, Robert W. Tallon, Kenneth L. Koch, Scott G. Barnes, James Ballard, Toby L. Simon, Thomas G. Grace

Research output: Contribution to journalLetter

13 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)1347-1348
Number of pages2
JournalNew England Journal of Medicine
Issue number22
Publication statusPublished - Nov 26 1981


All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Butner, A. N., Tallon, R. W., Koch, K. L., Barnes, S. G., Ballard, J., Simon, T. L., & Grace, T. G. (1981). Envenomation Coagulopathy from Snake Bites. New England Journal of Medicine, 305(22), 1347-1348. https://doi.org/10.1056/NEJM198111263052214