Indian common krait envenomation presenting as coma and hypertension: A case report and literature review
Arjun Datt Law1, Anshu Kumar Agrawal1, Ashish Bhalla1
1Department of Internal Medicine, PGIMER, Chandigarh, India.
Abstract:
Neuroparalytic snake bite is a common emergency situation encountered in India. Common krait (Bungarus caeruleus) and cobra (Naja naja) are important snakes causing neuroparalysis in North India. Despite severe neuroparalysis, patients who receive antivenin and ventilator support in time recover completely. Autonomic disturbances resulting in resting tachycardia, labile hypertension and sweating have been described in common krait envenomation. We present a case of common krait (B. caeruleus) envenomation presenting in the locked-in state and severe hypertension that remained in such a state for over 96 h before a gradual and sustained recovery.
Related Concept Videos
Anticholinesterase Agents: Poisoning and Treatment
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is slower than the...
Toxidromes: Clinical Features
Pharmaceutical Poisoning: Treatment Strategies
Hypertension III: Clinical Manifestations and Diagnostic Studies
Increased Intracranial Pressure l: Introduction
Increased Intracranial Pressure ll: Pathophysiology


