{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T15:01:02Z","timestamp":1771945262118,"version":"3.50.1"},"reference-count":41,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,2,10]]},"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:p>\n                    This case report presents an exceptional instance of envenomation following a physical altercation in which a coral snake was used as a whip. During the incident, the snake bit the patient\u2019s cheek, leading to envenomation. Within a few hours, he was hospitalised with sensory disturbances, weakness in the affected and adjacent regions, and nausea and vomiting. The snake was identified as an adult male\n                    <jats:italic>Micrurus tener<\/jats:italic>\n                    , also known locally as the \u2018coralillo\u2019 or \u2018harlequin coralillo\u2019. Laboratory studies revealed leucocytosis, low haemoglobin concentration and an increase of creatine phosphokinase levels. Treatment consisted of analgesics, antibiotics and five vials of antivenom, consisting of F(ab\u2019)\u2082 fragments of polyvalent anticoral immunoglobulin. The patient recovered neurologically and was discharged without sequelae after 72 hours. The treatment was based on the pathophysiology of\n                    <jats:italic>M. tener<\/jats:italic>\n                    envenomation, with antivenom administration being the standard of care.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2025-271398","type":"journal-article","created":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T14:05:39Z","timestamp":1771941939000},"page":"e271398","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Management of ophidiotoxicosis caused by coral snakes"],"prefix":"10.1136","volume":"19","author":[{"given":"Omar","family":"Azuara-Antonio","sequence":"first","affiliation":[{"name":"Hospital General Pachuca IMSS Bienestar, Pachuca de Soto, Hidalgo, Mexico"},{"name":"Hospital HGZ 1 IMSS Pachuca, Pachuca, Hidalgo, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1047-6304","authenticated-orcid":false,"given":"Mario I","family":"Ortiz","sequence":"additional","affiliation":[{"name":"Pharmacology, Universidad Autonoma del Estado de Hidalgo Instituto de Ciencias de la Salud Area Academica de Medicina, Pachuca, HIdalgo, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thal\u00eda Astrid","family":"Hern\u00e1ndez-Galv\u00e1n","sequence":"additional","affiliation":[{"name":"Hospital ISSSTE Pachuca Columba Rivera Osorio, Pachuca de Soto, Hidalgo, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luz","family":"Hern\u00e1ndez-Ram\u00edrez","sequence":"additional","affiliation":[{"name":"Cl\u00ednica de Medicina Familiar con Especialidades ISSSTE, Pachuca de Soto, Hidalgo, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,2,24]]},"reference":[{"key":"2026022406052022000_19.2.e271398.1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2105228"},{"key":"2026022406052022000_19.2.e271398.2","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2024.e33583","article-title":"Snake species assemblages across habitat types in four departments of the Republic of Congo, with emphasis on medically-relevant venomous species","volume":"10","author":"Mavoungou","year":"2024","journal-title":"Heliyon"},{"key":"2026022406052022000_19.2.e271398.3","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1093\/trstmh\/trae063","article-title":"Medically important snakes in Sudan: an overview of distribution, clinical features and present challenges","volume":"119","author":"Baleela","year":"2025","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"2026022406052022000_19.2.e271398.4","doi-asserted-by":"crossref","unstructured":"Franco V\u00e1squez AM , Lazcano P\u00e9rez F , Rodr\u00edguez-Vargas A , et al . 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