• Toh Leong Tan, Ahmad Khaldun Ismail, Kien Woo Kong, and Nor Khatijah Ahmad.
• Department of Emergency Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Ya'acob Latiff, Bandar Tun Razak, Cheras, Kuala Lumpur, Malaysia.
• J Emerg Med. 2012 Apr 1;42(4):420-3.

BackgroundThe paradise tree snake, Chrysopelea paradisi, is a rear-fanged colubrid. Like other members of the genus Chrysopelea, it is able to glide through the air, and thus, is commonly known as a "flying snake." There are few documented effects of its bite on humans.Case ReportA 16-year-old military college student presented to the Emergency Department (ED) of an urban teaching hospital 2 h after being bitten by C. paradisi. There were multiple bite marks and the patient reported moderate pain on the left index finger. There was no evidence of significant local or systemic envenomation. A transient prolonged coagulation profile and raised creatine kinase level were noted.ConclusionThe full effects of a bite from C. paradisi remain uncharacterized. This case featured only mild local effect. After the administration of first aid, non-sedating analgesia, anti-tetanus toxoid injection, and broad-spectrum antibiotic coverage, a short stay in the ED observation ward with regular monitoring of vital signs and serial wound inspection are recommended. More effort is required to increase awareness of the prevention and management of snakebite with equal emphasis on conservation of wildlife and their natural habitat.Copyright © 2012 Elsevier Inc. All rights reserved.

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