case_images: PMC11774425_01
case_images: The image shows swelling at the left forehead extended to the left cheek with bilateral periorbital swelling
case_images: TJEM-25-55-g001.jpg
case_images: PMC11774425_01_TJEM-25-55-g001.jpg
case_images: tjem.tjem_60_24-f001
case_images: A local examination of the face revealed swelling at the left forehead extended to the left cheek with bilateral periorbital swelling [Figure 1].
case_images: The image of the identified snake species as Trimeresurus sabahi fucatus (Green Pit Viper)
case_images: TJEM-25-55-g002.jpg
case_images: PMC11774425_01_TJEM-25-55-g002.jpg
case_images: tjem.tjem_60_24-f002
case_images: Trimeresurus sabahi fucatus after consultation with Malaysia's Remote Envenomation Consultancy Services (RECS) [Figure 2]. Three vials of green pit viper antivenom (GPAV) were administered 3 h after the incident.
case_images: The image shows worsening of the swelling extending to the Zone 2 of the neck at 12 h after the snake bite
case_images: TJEM-25-55-g003.jpg
case_images: PMC11774425_01_TJEM-25-55-g003.jpg
case_images: tjem.tjem_60_24-f003
case_images: At 14 h post-bite, the swelling further extended to zone 2 of the neck [Figure 3].
case_images: The image shows the facial region and the tracheostomy scar (white arrow) at 3 months after discharged from the hospital
case_images: TJEM-25-55-g004.jpg
case_images: PMC11774425_01_TJEM-25-55-g004.jpg
case_images: tjem.tjem_60_24-f004
case_images: The tracheostomy tube was weaned off on day 5 of admission and he was discharged home well [Figure 4].