Figure 1.

Various long-term local effects of the bites by Merrem’s hump-nosed pit viper (Hypnale hypnale) in Sri Lanka: (a) a contracture deformity involving the distal interphalangeal joint of the ring finger in left hand (red circle); (b) a contracture deformity involving the distal interphalangeal joint of the index finger in left hand (red circle); and (c) amputation of the right little finger due to local necrosis with the fasciotomy due to compartment syndrome of the right forearm. (All photographs are published with permission of the patients).