Clinical Evaluation of Patients with Krait Bites in the Emergency Department: A Series of Three Cases

Abstract

Envenomation from snakebites continues to be a severe public health issue in many parts of the world, particularly in tropical and subtropical regions. The complex range of envenomation symptoms necessitates ongoing innovative approaches for the effective treatment of snakebite victims, especially those resulting from krait species. The present case series provides a comprehensive clinical assessment of krait bite patients ( three male patients) in the Emergency Department (ED), emphasising the distinct clinical implications, cutting-edge perspectives, and critical requirements for reporting such occurrences. To identify both shared traits and unique attributes among the cases, authors analysed clinical records, laboratory data, treatment methods, and outcomes. Within the case series, three patients exhibited diverse envenomation symptoms. Notably, discrepancies were observed in the timing and severity of conventional neurotoxic indicators. Additionally, some individuals showed unusual coagulopathic symptoms, which posed challenges in diagnosis and treatment decisions. It is noteworthy that one patient demonstrated resistance to traditional antivenom therapy, raising the possibility of the need for individualised treatment plans. The wide range of clinical manifestations emphasises the importance of individualised care strategies and thorough surveillance. By illustrating the diverse clinical course of krait envenomation and the challenges it presents to healthcare professionals, present case series contributes to the current body of knowledge. The need for reporting and further research is particularly urgent, given the emergence of antivenom resistance. Reporting such occurrences becomes crucial in establishing global treatment recommendations and enhancing scientific understanding in the field as snakebite management tactics continue to evolve.

Keywords

• clinical assessment
• elapidae
• emergency medical services
• envenomation
• neurotoxicity
• snakebites