Achieving Full Neurological Recovery in Snakebite using Best Supportive Care

Area of Science:

• Clinical Medicine
• Toxicology
• Emergency Medicine

Background:

• Snakebite envenoming is a significant public health issue, particularly in resource-limited regions.
• Lack of timely access to antivenom and advanced medical facilities complicates management.
• Effective supportive care and clear protocols are crucial in managing severe envenomation.

Observation:

• A 29-year-old woman presented with respiratory arrest following an unknown snakebite in Sierra Leone.
• The patient received only basic supportive care due to the unavailability of antivenom.
• She spontaneously regained respiratory function after nearly 3 hours and made a full neurological recovery.

Findings:

• Spontaneous recovery from severe snakebite envenoming, while rare, is possible.
• Basic supportive measures and effective communication significantly impacted the patient's positive outcome.
• The case underscores the critical role of local protocols and staff training in managing snakebites.

Implications:

• This case demonstrates the potential for favorable outcomes even in low-resource settings with appropriate basic care.
• Highlights the need for enhanced community engagement and standardized protocols for snakebite management.
• Emphasizes the importance of building local capacity and confidence among healthcare providers for snakebite emergencies.