other group of venomous snakes. In this regard, the most important species are B. asper, B. atrox, and B. jararaca. Without treatment, the fatality rate is estimated to be about 7%, but with treatment this is reduced to 0.5-3%. Typical symptoms of bothropic envenomation include immediate burning pain, dizziness, nausea, vomiting, sweating, headache, massive swelling of the bitten extremity, hemorrhagic blebs, local necrosis, bleeding from the nose and gums, ecchymosis, erythemia, hypotension, tachycardia, coagulopathy with hypofibrinogenemia and thrombocytopenia, hematemesis, melena, epistaxis, hematuria, intracerebral hemorrhage, and kidney failure, secondary to hypotension and bilateral cortical necrosis. There is usually some discoloration around the bite site, and rashes may develop on the torso or the extremities. In general, death results from hypotension secondary to blood loss, kidney failure, and intracranial hemorrhage. Common complications include necrosis and kidney failure secondary to shock and the toxic effects of the venom. Species *) Not including the nominate subspecies. T) Type species References External links Snakes of South America Snakes of Central America Snake genera Taxa named by Johann Georg Wagler