Document Type : Case Report
Authors
1 Faculty of Medicine, MTRC Mashhad University of Medical Sciences, Mashhad, Iran.
2 Clinical Research Development Unit of Akbar Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Abstract
Objective: Snake bites represent a significant public health issue worldwide, as venomous snake bites can result in dangerous and sometimes lethal consequences. Sometimes, the diagnosis is difficult. Herein, we present the case of a 4-year-old child who posed a challenge to diagnosis.
Case Presentation: A 4-year-old child was brought to the emergency department with sudden, severe general weakness and impaired consciousness. Initially, the cause of these symptoms was unclear and difficult to diagnose. However, after a more thorough examination, it was determined that the likely cause was a neurotoxic snake bite. The child was hospitalized for three days. He received anti-venom, painkillers, and symptomatic treatments and left the hospital in good general condition.
Conclusion: Snakebites are very dangerous and sometimes have unusual manifestations, so adequate personnel and physician information is necessary for timely diagnosis and appropriate management.
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of Ministry of Health and Medical Education. Int J Med Toxicol Forensic Med. 2014;4(2):33-41. doi: 10.22037/ijmtfm.
v4i2(Spring).5574.
2. Le Geyt J, Pach S, Gutiérrez JM, Habib AG, Maduwage KP, Hardcastle TC, et al. Paediatric snakebite envenoming:
recognition and management of cases. Arch Dis Child. 2021;106(1):14-9. doi: 10.1136/archdischild-2020-319428.
3. Kumar M, Tiwari L. Snake bite - a review. J Pediatr Crit Care. 2018;5(6):34-41. doi: 10.21304/2018.0506.00442.
4. Ruha AM, Pizon AF. Native (US) venomous snakes and lizards. In: Hoffman RS, Howland MA, Lewin NA, Smith SW, Nelson LS, Goldfrank LR, eds. Goldfrank’s Toxicologic Emergencies.11th ed. McGraw Hill; 2019. p. 1620-1.
5. Digra S, Singh V. A clinical profile of neurotoxic snakebite in pediatric population of Jammu region. JK Sci. 2016;18(2):67-70.6. Parvesh GP, Mohan GP, Ravi Tarun K. Severe neuroparalytic snake bite. Pediatr Oncall J. 2012;9(3):73-4. doi: 10.7199/ped.oncall.2012.55.
7. Norris RL, Wilkerson JA, Feldman J. Syncope, massive aspiration, and sudden death following rattlesnake
bite. Wilderness Environ Med. 2007;18(3):206-8. doi:10.1580/06-weme-cr-012r.1.
8. Naganna P, Hussain NM, Hussain N. Approach to the preschool child with sudden loss of consciousness. Paediatr Child Health. 2020;30(9):333-7. doi: 10.1016/j.paed.2020.06.003.