Clinical case series on presentations of krait bite envenomation

Neurotoxicity is the most peculiar feature of krait envenomation. A patient presenting to the emergency room with complaints of snakebite followed by acute neuromuscular weakness and progressive respiratory involvement should ring a bell for neurotoxic snakebite. The progression of symptoms, muscle...

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Main Authors: Shireen Faruque Yakub, Babita Ghodke, Lakshmi Monika Puvvadu, Apoorva Nirmal, Ravi Patil
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:MGM Journal of Medical Sciences
Subjects:
Online Access:https://doi.org/10.4103/mgmj.mgmj_299_24
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author Shireen Faruque Yakub
Babita Ghodke
Lakshmi Monika Puvvadu
Apoorva Nirmal
Ravi Patil
author_facet Shireen Faruque Yakub
Babita Ghodke
Lakshmi Monika Puvvadu
Apoorva Nirmal
Ravi Patil
author_sort Shireen Faruque Yakub
collection DOAJ
description Neurotoxicity is the most peculiar feature of krait envenomation. A patient presenting to the emergency room with complaints of snakebite followed by acute neuromuscular weakness and progressive respiratory involvement should ring a bell for neurotoxic snakebite. The progression of symptoms, muscle involvement and weakness, respiratory worsening, and recuperating post administration of antivenom and acetylcholinesterase inhibitors can vary widely. Delays in diagnosis and administration of treatment are linked to increased mortality rates. In this report, we present cases of krait envenomation, highlighting differences in their management based on each patient’s presentation. All three cases were confirmed krait bites—in two cases, the bystanders had killed and brought the snake to the emergency room, where it was identified as a krait on arrival. Meanwhile, in the third case—based on symptoms, treatment was initiated, and krait was identified a couple of hours later.
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language English
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publisher Wolters Kluwer Medknow Publications
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spelling doaj-art-1a0f0077def34fca8b93d6f7a686a24f2025-01-17T10:55:34ZengWolters Kluwer Medknow PublicationsMGM Journal of Medical Sciences2347-79462347-79622024-12-0111479479710.4103/mgmj.mgmj_299_24Clinical case series on presentations of krait bite envenomationShireen Faruque YakubBabita GhodkeLakshmi Monika PuvvaduApoorva NirmalRavi PatilNeurotoxicity is the most peculiar feature of krait envenomation. A patient presenting to the emergency room with complaints of snakebite followed by acute neuromuscular weakness and progressive respiratory involvement should ring a bell for neurotoxic snakebite. The progression of symptoms, muscle involvement and weakness, respiratory worsening, and recuperating post administration of antivenom and acetylcholinesterase inhibitors can vary widely. Delays in diagnosis and administration of treatment are linked to increased mortality rates. In this report, we present cases of krait envenomation, highlighting differences in their management based on each patient’s presentation. All three cases were confirmed krait bites—in two cases, the bystanders had killed and brought the snake to the emergency room, where it was identified as a krait on arrival. Meanwhile, in the third case—based on symptoms, treatment was initiated, and krait was identified a couple of hours later.https://doi.org/10.4103/mgmj.mgmj_299_24acetylcholinesterase inhibitorsantivenomkrait biteneuromuscular weaknessneurotoxic snake bite
spellingShingle Shireen Faruque Yakub
Babita Ghodke
Lakshmi Monika Puvvadu
Apoorva Nirmal
Ravi Patil
Clinical case series on presentations of krait bite envenomation
MGM Journal of Medical Sciences
acetylcholinesterase inhibitors
antivenom
krait bite
neuromuscular weakness
neurotoxic snake bite
title Clinical case series on presentations of krait bite envenomation
title_full Clinical case series on presentations of krait bite envenomation
title_fullStr Clinical case series on presentations of krait bite envenomation
title_full_unstemmed Clinical case series on presentations of krait bite envenomation
title_short Clinical case series on presentations of krait bite envenomation
title_sort clinical case series on presentations of krait bite envenomation
topic acetylcholinesterase inhibitors
antivenom
krait bite
neuromuscular weakness
neurotoxic snake bite
url https://doi.org/10.4103/mgmj.mgmj_299_24
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AT apoorvanirmal clinicalcaseseriesonpresentationsofkraitbiteenvenomation
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