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SEVERE NEUROPARALYTIC SNAKE BITE
Abstract
Full Text
PDF
Volume
9
, Issue
3
July-September 2012
Pages: 73-74
DOI:
https://doi.org/10.7199/ped.oncall.2012.55
CITE THIS ARTICLE
Parvesh G P, Mohan G P, K R T. SEVERE NEUROPARALYTIC SNAKE BITE. Pediatr Oncall J. 2012;9: 73-74. doi: 10.7199/ped.oncall.2012.55
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CASE REPORTS
SEVERE NEUROPARALYTIC SNAKE BITE
Garg Padma Parvesh, Garg Parvesh Mohan, Ravi Tarun K.
Department of Pediatrics, Babu Jagjivan Ram Memorial Hospital, Delhi Government Hospital, New Delhi, India.
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Abstract
Three patients with severe neuroparalytic snake envenomation were admitted in our intensive care unit over one month period. Initially, ptosis and ophthalmoplegia occurred followed by areflexia, bulbar palsy, respiratory muscle weakness and loss of brain stem reflexes mimicking brain death chronologically. They received cardiopulmonary support with mechanical ventilation, anti-snake venom (median dose of 20 vials) and anti-cholinesterase therapy. Mechanical ventilation was continued despite features suggestive of brain stem dysfunction. They required mechanical ventilation for 8, 5 and 2 days respectively. Except one patient suffering from residual weakness of lower limb, the rest survived with complete neurological recovery. Neuroparalysis is known with cobra envenomation but the prolonged loss of brain stem reflexes can be difficult to interpret for the caregivers about the efficacy of the treatment. However, good outcome in such cases is related to early cardiopulmonary support and anti-venom therapy.
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Disease A-Z
Health Topics
Alternative Medicine
Developmental Pediatrics
General Pediatrics
Genetics
Immunodeficiencies
Infectious Diseases
Laboratory Medicine
Neonatology
Nutrition
Pediatric Cardiology
View all topics
Featured Articles
Anal fissure
Skin allergies
Anaphylaxis
Urticaria (hives) and angioedema
Circumcision
Diabetic ketoacidosis
Kids Corner
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Drug Calculators
Growth Calculators
Renal Calculators
View all Calculators
Drug Index
ACE inhibitor
Alkylating agents
Allergies
View all Drugs
Poisoning Center
Aluminum phosphide
Anti-histaminics
Antidepressants
View all Drugs
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Pumps
Incubators
View all Eqipments
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