Luckily, bites by shy coral snakes account for fewer than 1 percent of U.S. snakebites, and antivenin is not always needed. Coral snakes are extremely reclusive and generally bite humans only when handled or stepped on. Coral snake venom is primarily neurotoxic with little local tissue reaction or pain at the bite site. The length of the snake correlates positively with the snakes venom yield. Symptoms. Prognosis following coral snake bite, even with severe envenomation, should be excellent if the patient receives appropriate pre-hospital and hospital management, neither of which occurred for our unfortunate Victim A. Symptoms specific to coral snake bites include: Conclusion. The severity of a coral snake bite is related to the volume of venom injected and the size of the victim. They live in the woods, marshes, and sandy areas of the South. Coral snakes typically hide underground and in leaf piles. There are two clinically important subspecies of coral snake in North America: the eastern coral snake, Micrurus fulvius fulvius, in North Carolina, southern Florida, and west of the Mississippi River; and the Texas coral snake, M. fulvius tenere, found west of Mississippi, in Arkansas, Louisiana, and Texas. The net effect of the neurotoxins is a curare like syndrome. Coral Snake Venom Toxicosis in Dogs. 4.

This is the first reported case of coral snake bite-related death in the United States in over 4 decades.