Snakebite Causing Facial and Lingual Tremors: A Case Report.

Area of Science:

• Neurotoxicology
• Clinical Case Study
• Public Health

Background:

• Snakebite envenomation is a critical global health issue, leading to significant morbidity and mortality.
• Accurate diagnosis can be challenging due to unclear patient history, potentially delaying critical treatment.
• Common snakebite effects include neurotoxicity, hemotoxicity, and myotoxicity.

Observation:

• A 26-year-old female presented with a snakebite.
• She developed unusual involuntary movements, specifically tremors affecting her face and tongue.
• These symptoms are rare manifestations of neuroparalytic snakebites.

Findings:

• The patient's tremors improved with supportive care, including mechanical ventilation.
• Treatment with anti-snake venom, atropine-neostigmine, and calcium gluconate was administered.
• The patient was successfully discharged after seven days and is undergoing outpatient follow-up.

Implications:

• This case underscores the diverse and sometimes atypical neurological presentations of snakebite envenomation.
• It emphasizes the importance of prompt and comprehensive management for neurotoxic snakebites.
• Early recognition and intervention are crucial for favorable patient outcomes in complex snakebite cases.