Introduction:
Snake bite is a common and very important issue threatening health in different parts of the world, including Iran [1]. The clinical manifestations of snake bites are varying and depend on many factors, including the species of snake, the amount and strength of the venom injected, the location of the bite, and the patient’s own factors, such as age, the underlying disease [2].
Wound infections following snake bites such as cellulitis and necrotizing fasciitis, although not common, [3-5] are seen in the bites of snakes and if untreated can cause serious complications such as necrotizing fasciitis, extensive local tissue damage and progressive sepsis that can be associated with acute renal failure (ARF), thrombocytopenia, and coagulopathy; [2] although standard anti-venom treatment can reduce the toxic hemorrhagic or neurotoxic effects of venom,[6-8] the progression of compartment syndrome and bacterial tissue infection cannot be prevented by anti-venom treatment [9,10] and requires emergency surgical procedures such as fasciotomy or amputation and broad-spectrum antibiotics and hospitalization in the intensive care unit [3,7,11,12].
On the other hand, in some cases of snake bites, the patient does not notice the bite and after a while suffers from local symptoms and sometimes systemic complications that if not diagnosed and treated in time can lead to massive complications and injuries that will complicate the treatment. Thus, we describe a rare case of wound infection with hemorrhagic and non-hemorrhagic blisters following snakebite.