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Indian Journal of Emergency Medicine

Volume  6, Issue 2, April – June 2020, Pages 111-113
 

Case Report

A Rare Presentation of Krait Bite

Arunil Gupta, Neha Luthra, Brijendra Mohan, Pankaj Jhaldiyal

1Associate Consultant, 2Resident, 3Attending Consultant, 4Principal Consultant and head, Department of Accident and Emergency, Max Super Speciality Hospital Dehradun, Uttarakhand 248001, India.

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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.6220.11

Abstract

Krait snake bite is a type of emergency which is encountered in emergencies in India especially rural India. Common krait (Bungaruscaeruleus) and cobra (Najanaja) are most commonly found in this part of India. Krait bites tend to cause severe muscle paralysis but if patient receive first aid like ventilatory support and antivenom timely they can recover fully. Autonomic dysfunction resulting in tachycardia at rest, unexpected or unexplained hypertension and sweating has been commonly seen in krait bites. We present a case where a 13 yrs old girl who came with symtpoms of progressive drooping of eyelids, diplopia, difficulty in talking, painful swallowing and severe pain abdomen here considering the clinical scenario of pain abdomen with descending paralysis a possibility of krait bite was considered and pt was given ASV. She started improving from 3rd day and was subsequently discharged on 6th day.
 


Keywords : Krait; Rural India; Autonomic Dysfunction; Tachycardia; Diplopia; Pain Abdomen; ASV.
Corresponding Author : Neha Luthra