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Area of Science:

  • Neurotoxicology
  • Clinical Nephrology
  • Emergency Medicine

Background:

  • Krait snakebites are a significant cause of neurotoxic envenomation in South Asia.
  • Cerebral salt wasting (CSW) is a rare syndrome characterized by hyponatremia and natriuresis.
  • The association between krait bites and CSW is not well-documented.

Purpose of the Study:

  • To report a case of krait snakebite presenting with cerebral salt wasting.
  • To highlight the diagnostic challenges and management of this rare complication.

Main Methods:

  • Case report of a patient with krait envenomation.
  • Clinical presentation, laboratory findings, and neuroimaging were analyzed.
  • Treatment and outcome were documented.

Main Results:

  • The patient presented with altered sensorium and confirmed hyponatremia.
  • Cerebral salt wasting was diagnosed based on clinical and biochemical parameters.
  • The patient responded to fluid and electrolyte management.

Conclusions:

  • Cerebral salt wasting is a potential neurological complication of krait snakebites.
  • Recognition of CSW is vital for appropriate management and improved patient outcomes.
  • Further research is needed to understand the pathophysiology of CSW in snakebite victims.