01586nas a2200313 4500000000100000008004100001260001200042653001400054653002800068653001400096653001900110653001400129653001000143100001200153700001400165700001500179700001500194700001200209700001000221700001400231700001300245700001500258700001500273245004200288856004900330490000700379520087200386022001401258 2020 d c10/202010aantivenom10aasymptomatic envenoming10adry bites10anon-envenoming10asnakebite10avenom1 aPucca M1 aKnudsen C1 aOliveira I1 aRimbault C1 aCerni F1 aWen F1 aSachett J1 aSartim M1 aLaustsen A1 aMonteiro W00aCurrent Knowledge on Snake Dry Bites. uhttps://www.mdpi.com/2072-6651/12/11/668/htm0 v123 a
Snake 'dry bites' are characterized by the absence of venom being injected into the victim during a snakebite incident. The dry bite mechanism and diagnosis are quite complex, and the lack of envenoming symptoms in these cases may be misinterpreted as a miraculous treatment or as proof that the bite from the perpetrating snake species is rather harmless. The circumstances of dry bites and their clinical diagnosis are not well-explored in the literature, which may lead to ambiguity amongst treating personnel about whether antivenom is indicated or not. Here, the epidemiology and recorded history of dry bites are reviewed, and the clinical knowledge on the dry bite phenomenon is presented and discussed. Finally, this review proposes a diagnostic and therapeutic protocol to assist medical care after snake dry bites, aiming to improve patient outcomes.
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