Fig. 1

(A) Photograph taken shortly after the bite. Two pairs of fang marks are clearly visible and are surrounded by bulges and bruising. Arrows indicate two additional fang marks. Simple measurement with a caliper revealed that the distance between fang marks was 12 mm in the more distal bite, whereas the two other bites had an interfang distance of approximately 8 mm. (B) Photograph taken one and a half hours after the bite showing a slightly edematous limb. (C) Photograph taken in the operating room approximately nine hours after the bite showing edema and discoloration in the affected limb