Introduction: The authors describe an atypical presentation after a Boomslang bite with rapid progression of symptoms and death.
Case report: A young gentleman was bitten and rapidly decompensated before monovalent antivenom could be administered, with fatal results.
Conclusion: This case highlights the importance of having monovalent Boomslang antivenom rapidly available in all referral centres that may be involved in the management of Boomslang bite victims.