Neurotoxic Snake Bite Poisoning

Authors

  • Ankita Kakkar Assistant Professor Department of Forensic Medicine Rama Medical College, Mandhana Kanpur, U.P.
  • Sushil Kumar Associate Professor Department of Forensic Medicine Rama Medical College, Mandhana Kanpur, U.P.

DOI:

https://doi.org/10.48165/

Keywords:

Envenomation, Mortality, Morbidity, Manifestations

Abstract

Snake bite is a significant health problem in India, particularly in the rural regions of the country.  In general about 70% of bites are due to snakes which are not poisonous, of the rest, 15% are dry bites  and only15% cause envenomation. Venom is the saliva of snake ejected during the act of biting, from the  poison apparatus (the modified parotid glands). It can be, neurotoxic, vasculotoxic, or myotoxic in its  action. Neurotoxicity is a key feature of some envenoming, and there are many unanswered questions  regarding its manifestations. The polyvalent antisnake venom serum available in India is effective against  most common poisonous snakes. Therefore, a prompt diagnosis and timely administration of polyvalent  antisnake venom, in a case of snake bite can not only be life saving, but also prevent morbidity to a great  extent. Neurotoxic snakes for example common krait hunt nocturnally, and are quick to bite people  sleeping on the floor, often without waking their victims, since the venom is painless. Victims wake up  later, paralyzed or die in their sleep. In the present case report, we discuss the neurological manifestations, disease course and its  outcome in one such patient of snake bite.  

Downloads

Download data is not yet available.

References

Harrison RA, Hargreaves A, Wagstaff SC, Faragher B, Lalloo DG. Snake envenoming: a disease of poverty. Plos Negl Trop Dis 2009 (3): e569 DOI: 10.1371/journal. Pntd. 0000569.

Mohapatra B, Warrell DA, Suraweera W, Bhatia P, Dhingra N, et al. Snakebite mortality in India: a Nationally representative mortality survey. Plos negl trop dis 2011 (5): e1018 DOI: 10. 1371/journal. Pntd. 0001018.

Silva HJ. Neurotoxicity in Snakebite- The limits of our knowledge. Plos Negl Trop Dis 2013 ; 7(10): e2302. DOI: 10.1371/journal. pntd.0002302

Warrel DA. Venomous snakes. In: Weatherall DJ, Ledinghan JGG, and Warrel DA, (eds) Oxford textbook of Medicine. 3rd ed. Oxford: Oxford University press; 1996: 1126-39.

Kohli U, Sreedhar VK. Snake bite: An Unusual Cause of Acute Abdominal Pain. Indian Pediatrics 2007; 44:852-853.

Seneviratne U, Dissanayake S. Neurological manifestations of snake bite in Sri Lanka. J Postgrad Med 2002; 48:275-278. 7. Britt A, Burkhart K. Naja naja Cobra bite. Am J Emerg Med 1997; 15(5): 529-33.

Bawaskar HS, Bawaskar PH, Punde DP, Inamdar MK, Dongare RB, Bhoite RR. Profile of Snakebite Envenoming in Rural Maharashtra, India. J Assoc. Phys. Ind 2008; 56:88-95.

Akram S, Khurshid T. Successful revival of neurotoxic snake bite by artificial ventilation and cholinesterases. JCPSP 2000; 10: 267-9. 10. Flachsenberger W, Mirtschin P. Anticholinesterases as antidote to envenomation of rats by the death adder (Acanthopis antarcticus). Toxicon 1994; 32(1):38-9.

Published

2014-10-30

How to Cite

Kakkar, A., & Kumar , S. (2014). Neurotoxic Snake Bite Poisoning . Journal of Indian Academy of Forensic Medicine, 36(3), 315-317. https://doi.org/10.48165/