Case Report
Year: 2021 | Month: April-June | Volume: 6 | Issue: 2 | Pages: 47-49
DOI: https://doi.org/10.52403/ijshr.20210409
Autonomic Dysfunction Following Neurotoxic Snake Envenomation: Does Site of Bite Predispose?
Anju Bala1, Parul Bhardwaj2, Vipan Garg3, Shivbrat4
1MD Pediatrics, Civil Hospital Nadaun (H.P.)
2MD Internal Medicine, Civil Hospital Dehra (H.P.)
3Senior Resident Anesthesia, DRPGMC Kangra at Tanda (H.P.)
4Junior Resident ENT, DRPGMC Kangra at Tanda (H.P.)
Corresponding Author: Parul Bhardwaj
ABSTRACT
South Asian subcontinent is among the highest burden areas in respect of snake bite. India is commonest place in this subcontinent with mortality following snake envenomation. The four most important venomous snakes in India are cobra (Naja naja) and common krait (Bungarus caeruleus), which are neurotoxic, and the saw-scaled viper (Echis carinatus) and Russell’s viper (Daboia russelii), which are hemotoxic1. Various autonomic dysfunction following neuro-paralytic envenomation with krait and cobra has been reported. Timely recognition and appropriate management of snake envenomation along with autonomic dysfunction helps to reduce morbidity and mortality.
Keywords: Autonomic dysfunction, hypertension, antisnake venom, blood pressure.