Envenomation by a juvenile Malayan pit viper (Agkistrodon rhodostoma)

Following an accidental bite inflicted by a juvenile Malayan pit viper (Agkistrodon rhodostoma), the progress of envenomation was carefully monitored and subsequent laboratory work performed to determine the amount and quality of venom injected. Even a very small amount of venom from this species is capable of inducing noticeable local symptoms including edema, subcutaneous bleeding, and throbbing. Constitutional symptoms were present but minimal. The extent of inflammation present at any given time following envenomation was found to be a more accurate diagnostic signal than the speed with which it developed. This case is similar to that of bites by juveniles of other species of viperines and crotalines and may serve to aid in the diagnosis and treatment of bites by juvenile specimens of serpents in these families.