Hepatotoxic effect of elapid venom-a rare manifestation: Case report

Abstract

Snake bite is a neglected tropical disease affecting millions of people across the globe. The highest burden exists in South East Asia and Sub-Saharan Africa. Around 45900 deaths could be attributed to snake bites in India with 25% of these deaths occurring in children between age group of 5–14 years. Snake bites can broadly present with hemotoxic and neurotoxic manifestations. Management of snake envenomation comprises of first aid measures, administration of ASV (Anti-Snake Venom), strict monitoring, supportive management in the form of pain relief, correcting coagulation parameters and fluid and haemodynamic monitoring. We are reporting a case of Elapid poisoning, which besides the usual neurotoxic manifestation, also presented with hepatotoxicity which is an uncommon presentation.

Keywords

• anti snake venom
• elapid snake
• hepatotoxicity
• pediatrics
• snake bite