[Snake bite of western hognose snake (Heterodon nasicus)]

There are few reports of snake bites by western hognose snakes (Heterodon nasicus), most of which have been associated with local reactions. We report a patient with pronounced local swelling after a bite by a western hognose snake. Local antiseptic therapy and systemic antibiotics are recommended for infection prophylaxis; in addition, laboratory tests should be run to exclude systemic involvement. Regarding tetanus vaccination status, a booster should be considered according to current guideline recommendation.