A case report on neurotoxic snake bite with respiratory arrest in an urban city

Dr. Zara Ahmed; Dr. Priyadarshini Pal Singh

Volume : VIII, Issue : II, February - 2019

A case report on neurotoxic snake bite with respiratory arrest in an urban city

Dr. Zara Ahmed, Dr. Priyadarshini Pal Singh

Abstract :

Snake bite presents as a life threatening emergency and is most commonly seen in rural areas. It is a neglected tropical disease of global importance.* Data from �THE MILLION DEATHS STUDY� in India estimates that the snake bite deaths are more than 30 fold higher than that recorded in official hospital returns. Snake bites have neurotoxic, hemotoxic and myotoxic effects depending on type of envenomation. We present a case of neurotoxic snake bite in an urban city of New Delhi where snake bites are not very common. The patient, a 17 year old boy was presented to our emergency in a cyanosed ,unresponsive state with no spontaneous eathing and with a clear history of snake bite 3 hours prior to arrival. Patient�s airway was immediately secured and was put on ventilator support followed by standard management of anaphylaxis and snake bite based on WHO/SEARO guidelines of snake bite. Patient recovered completely with no neurological deficit in about six days time with immediate intervention and management according to standard protocols.