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VOLUME 17 , ISSUE 2 ( April, 2013 ) > List of Articles


Hypertensive encephalopathy following snake bite in a child: A diagnostic dilemma

Syed Moied Ahmed, Mozaffar Khan, Zeeba Zaka-ur-Rab, Abu Nadeem, Shiwani Agarwal

Keywords : Hypertension, pediatric, snake bite

Citation Information : Ahmed SM, Khan M, Zaka-ur-Rab Z, Nadeem A, Agarwal S. Hypertensive encephalopathy following snake bite in a child: A diagnostic dilemma. Indian J Crit Care Med 2013; 17 (2):111-112.

DOI: 10.4103/0972-5229.114819

License: CC BY-ND 3.0

Published Online: 01-05-2014

Copyright Statement:  Copyright © 2013; The Author(s).


Children in rural India are a vulnerable group for snake bites. Improper elicitation of history and atypical presentations could lead to misdiagnosis and delay in treatment. We are reporting the case of an 8-year-old male child who presented with convulsions, unconsciousness and hypertension who was initially managed as a case of hypertensive encephalopathy showing no sign of improvement even after 20 hs. The history when reviewed suggested neurotoxic snake bite although the patient did not have any classical local findings. Anti-snake venom administration was followed by prompt recovery. We therefore suggest that snake bite should be considered in patients from rural background presenting with hypertension, convulsion and unconsciousness, even in the absence of classical features of snake bite.

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  1. Lopoo JB, Bealer JF, Mantor PC, Tuggle DW. Treating the snake bitten child in North America: A study of pit viper bites. J Pediatr Surg 1998;33:1593-5.
  2. Agarwal R, Aggarwal AN, Gupta D. Elapid snakebite as a cause of severe hypertension. J Emerg Med 2006;30:319-20.
  3. Laothong C, Sitprija V. Decreased parasympathetic activities in Malayan krait (Bungarus candidus) envenoming. Toxicon 2001;39:1353-7.
  4. Government of India. National snakebite protocol. New Delhi: Health and Family Welfare Department; 2007.
  5. Anil A, Singh S, Bhalla A, Sharma N, Agarwal R, Simpson ID. Role of neostigmine and polyvalent antivenom in Indian common krait (Bungarus caeruleus) bite. J of Infect and Public Health 2010;3:83-7.
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