Myalgia as a Symptom of Envenomation by the Eastern Coral Snake, Micrurus Fulvius: A Case Report

Wilderness Environ Med. 2021 Mar;32(1):63-69. doi: 10.1016/j.wem.2020.08.004. Epub 2020 Dec 9.

Abstract

We present the case of a patient who developed myalgia as the primary symptom of envenomation by the eastern coral snake, Micrurus fulvius. The patient was evaluated and treated in the emergency department. Physical examination did not demonstrate any neuromuscular abnormalities. On consultation with the poison control center, the patient's myalgia was determined to be an effect of envenomation, and 5 vials of North American coral snake antivenin were administered. The patient was admitted to the intensive care unit where his symptoms resolved. He was discharged the following day after remaining asymptomatic for 24 h.

Keywords: North American coral snake antivenin; elapidae.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Antivenins / therapeutic use*
  • Coral Snakes*
  • Elapid Venoms / toxicity*
  • Humans
  • Male
  • Middle Aged
  • Myalgia / etiology*
  • Snake Bites / therapy*

Substances

  • Antivenins
  • Elapid Venoms
  • micrurus venom