Publication:
Snakebite Masquerading as Brain Death: A Case Report from Nepal

Date

2024

Authors

Balla, Pujan
Baidya, Smriti
Shahi, Kul Raj
Paudel, Khechar Nath

Journal Title

Journal ISSN

Volume Title

Publisher

Institute of Medicine, Tribhuvan University

Research Projects

Organizational Units

Journal Issue

Abstract

Abstract: Neurotoxic envenomation from snake bites, particularly krait bites, can mimic brain death. A 17-year-old male was referred to our hospital intubated, presenting with clinical features consistent with brain death. However, the absence of a clear preceding event and his residence in a snakebite-endemic region raised suspicion of snakebite. Prompt administration of anti-snake venom led to significant recovery, and he was discharged without neurological deficits. This case underscores the need for clinicians to recognize neurotoxic snake bites as a potential differential diagnosis of brain death, particularly in resource-limited endemic areas where diagnostic capabilities may be restricted.

Description

Pujan Balla Province Hospital, Surkhet Author https://orcid.org/0000-0002-6793-2625 Smriti Baidya Province Hospital, Surkhet Author https://orcid.org/0000-0002-0404-9835 Kul Raj Shahi Province Hospital, Surkhet Author https://orcid.org/0009-0002-7908-0164 Khechar Nath Paudel Province Hospital, Surkhet Author https://orcid.org/0009-0006-9982-7439

Keywords

Anti-snake venom, brain death, snakebite

Citation

Collections