Severe pain may last for 2–4 weeks. Locally, it may persist depending on the level of tissue damage. Often, local swelling peaks within 48–72 hours, involving both the affected limb and the trunk. If swelling up to the trunk occurs within 1–2 hours, massive envenomation is likely. Discoloration may occur throughout the swollen area as red blood cells and plasma leak into muscle tissue. Death from septicaemia or kidney, respiratory, or cardiac failure may occur 1 to 14 days after the bite or even later.