It may occur in a patient who has received antivenom. The antivenom (CroFab) uses the Fab fragment of the immunoglobulin and has a short half-life. A patient with delayed onset usually receives additional antivenom.
The coagulopathy can be recurrent.
A patient should take bleeding precautions for 2 weeks after the snakebite with no contact sports, elective surgery or dental work.
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