Although no cases of envenomation by Micrurus multiscutatus have been documented in the literature, its venom is expected to produce clinical manifestations similar to those of other coralsnake species [1,2]. Mild envenomation is generally associated with local signs of mild bleeding caused by the bite bound and erythema (superficial reddening of the skin), hypoesthesia (reduced sense of touch or sensation) or paresthesia (an abnormal sensation, typically tingling or pricking) at the bite site, but in many cases, there may be no local symptoms.
Moderate envenomation includes early systemic neurologic manifestations such as diplopia, blurred vision, blepharoptosis, and slurred speech [2]. In severe envenomation, the previous manifestations are accentuated, and other symptoms can appear, such as paralysis of the muscles of the neck, loss of balance and the muscle strength in the extremities, nausea, vomiting, confusion, disorientation, ophthalmoplegia, hypersalivation, jaw pain, tongue protrusion, aphonia, difficulty walking, and finally, respiratory paralysis [2].