The eastern diamondback rattlesnake has the reputation of being the most dangerous
venomous snake in
North America. The eastern diamondback rattlesnake is a major leader of fatal snakebites within its geographical range. In proportion to its length, it has the longest fangs of any rattlesnake species, with calculations leading one to expect an specimen would have fangs with a total length of over . For comparison, a specimen had fangs measuring in length.
Brown gives an average venom yield of 410 mg (dried venom), along with values of 1.3–2.4 mg/kg
IV, 1.7–3.0 mg/kg
IP and 10-14.5 mg/kg
SC for toxicity. The estimated human lethal dose is 100–150 mg. This venom is one of the most studied snake venoms with around 40 toxins characterized. Nevertheless, the venom does exhibit high
hemorrhagic activity. It also contains a low-molecular-weight basic
peptide that impedes neuromuscular transmission and can in theory lead to
cardiac failure. This peptide is similar to crotamine from
C. durrisus terrificus, and makes up 2–8% of the protein found in the venom. In general, the venom can be described as highly
necrotizing, mildly
proteolytic and containing a large
phosphodiesterase fraction. It stimulates the release of
bradykinin that can result in severe pain, as well as profound, transient
hypotension. Klauber described one case in which the symptoms included instant pain "like two hot hypodermic needles", spontaneous bleeding from the bite site, intense internal pain, bleeding from the mouth, hypotension, a weak pulse, swelling and discoloration of the affected limb, and associated severe pain. The symptoms were further described as strongly hemolytic and hemorrhagic.
CroFab,
Anavip, and
Wyeth's ACP are effective antivenins against bites from this species, although massive doses may be needed to manage severe cases of envenomation. Generally, ACP is very effective at countering the defibrination syndrome that is often seen, but may do little for low platelet counts. Wyeth's ACP is no longer being manufactured. ==References==