• Jose Antonio Suárez, Mario Urriola, Maickol Manuel Moreno-Botello, Laura Naranjo-Lara, Nathan Gundacker, Luis C Ascanio, Christian Olivo-Freites, and Alberto Paniz-Mondolfi.
• Sistema Nacional de Investigación-SENACYT, Panamá; Bella Vista, Manuel E. Batista y Ave. Jose De Fabrega, Panama City, Panama Province, Panama; Infectotrópico, SA, Panamá.
• Am J Emerg Med. 2024 Sep 12.

AbstractColubrids represent a diverse group of snakes historically regarded as harmless. With over 300 genera, the Colubridae family is the largest, encompassing approximately two-thirds of extant snake species. We describe a case of an 18-year-old male who suffered a colubrid snakebite from Erythrolamprus bizona, commonly known as the double-stranded coral snake mimic or false coral snake, which he misidentified as Lampropeltis sp., a fangless colubrid snake. Patient experienced localized erythema and edema, which later spread to the entire left hand along with moderate pain. Laboratory tests revealed leukocytosis and elevated creatine kinase. Symptoms resolved one week later. This case highlights the public health significance of ophidian accidents due to apparently "non-venomous snakes" or low-risk snakes such as the opisthoglyphous colubrid E. bizona. It also underscores the need to correctly identify and differentiate these snakes from other harmless colubrids, particularly double-stranded coral snake mimics in areas of geographic overlap and avoid their manipulation if uncertain of their taxonomic status.Copyright © 2024 Elsevier Inc. All rights reserved.

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