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Peer-reviewed veterinary case report

Signs and treatment of red-bellied black snake bites in dogs

By Finney, E R et al.·Published in Australian veterinary journal·2020·Pet Intensive Care Unit, Australia·View original on PubMed

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Original publication title: Red-bellied black snake (Pseudechis porphyriacus) envenomation in 17 dogs: clinical signs, coagulation changes, haematological abnormalities, venom antigen levels and outcomes following treatment with a tiger-brown snake antivenom.

Species:
reptile

Plain-English summary

Seventeen dogs in Queensland were treated for bites from red-bellied black snakes, showing symptoms like swelling at the bite site and facial weakness. Most dogs survived, with 94% discharged from the hospital after receiving a new antivenom specifically for tiger and brown snakes. Some dogs needed extra care, including blood transfusions and mechanical ventilation, but they generally recovered well without the use of steroids. The antivenom effectively reduced venom levels in their systems, leading to a positive outcome for the majority of the dogs.

People also search for: dog snake bite treatment · red-bellied black snake symptoms in dogs · antivenom for dog snake envenomation

Abstract

BACKGROUND: This report describes 17 cases of red-bellied black snake envenomation (RBBS; Pseudechis porphyriacus) in dogs in south-eastern Queensland. Patients were prospectively enrolled for the treatment with a new tiger-brown snake antivenom 8000 units, (TBAV; Padula Serums Pty Ltd, VIC, Australia). CASE REPORT: Clinical diagnosis of RBBS envenomation was made by either snake venom detection kit, snake identification using scale counting, or owner observed dog-snake interaction in patients with clinical signs of envenomation. An RBBS venom antigen sandwich ELISA was used to retrospectively quantify venom levels in frozen serum and urine. Mechanical ventilation was required in 11% (2/17) patients, whole blood transfusion in 12% (2/17), tissue swelling at the bite site occurred in 53% (9/17) and facial palsy in 12% (2/17). One dog was euthanised, and overall, 94% (16/17) survived to hospital discharge. Clinicopathological changes pre-TBAV included variable haemolysis, increased CK, pigmenturia and mildly prolonged active clotting time with a median of 134 s (n = 13, range 91-206 s). Haematological profiles post envenomation revealed anaemia (6/6) and spherocytosis (5/5), which resolved without the use of corticosteroids. Pre-TBAV, median RBBS venom antigen concentration was 22.6 ng/mL (n = 15, range 2-128) in serum and 58 ng/mL (range 1-452) in urine; RBBS venom antigen was undetectable in serum post-TBAV in all patients. CONCLUSION: Some RBBS envenomed dogs required, critical care including mechanical ventilation, blood transfusion, additional antivenom and prolonged hospitalisation. TBAV was effective with excellent prognosis despite stated specificity for tiger and brown snake.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/32390184/