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BMJ 2005;331 (26 November), doi:10.1136/bmj.331.7527.0
In a clinical review Warrell gives a comprehensive overview of the clinical features of adder and exotic snake bites, including their diagnosis and treatment (p 1244). The adder or viper (Vipera berus) is the only venomous snake indigenous to Great Britain, where about 100 adder bites to humans and a dozen to animals are reported yearly. Several cases of exotic snake bites are also reported yearly, mostly from private unlicenced individuals who like these "macho pets." What is the best course of action in such cases?
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