Management of an Uncommon Snakebite Envenomation (Azemiops kharini)

Envenomation and death resulting from snakebites represent a significant public health problem worldwide, posing a substantial threat to human lives. Azemiops kharini (white-headed Burmese viper) venom is a mixed toxin that usually causes swelling and pain, paresthesias, blood clotting disorders, cardiopulmonary arrest, and even multiple organ dysfunction syndrome. The patient exhibited symptoms of envenomation after an A. kharini snakebite, including decreased fibrinogen levels and finger stiffness. Management entailed the administration of a combination therapy consisting of multiple monovalent antivenoms along with Jidesheng snake pill. Finally, a favorable outcome was observed. We present a case of A. kharini snakebite envenomation managed at our medical facility for the benefit of fellow health care providers.