Title: Multiple Infarcts in Brain Following Viper Snake Bite

Biography:

Dr Sujay S completed his M.B.B.S from Madras medical college in 2017 and completed his MD in emergency medicine from “Kempegowda Institute of Medical Sciences”,in 2021.
He is currently working as a senior resident at “Sri Atal Bihari Vajpayee Medical College and Research Institute”, Bowring & Lady Curzon Hospital, Bangalore.
He also works as an International instructor for AHA BLS and ACLS courses.

Abstract

INTRODUCTION:
Multiple infarcts following viper snake bite is a rare complication but fatal. Venom exhibits anti-coagulant and procoagulant effects. Haemorrhagins present in viper venom are complement mediated toxic components that may result in vascular spasm, endothelial damage and increased vascular permeability which lead to toxic vasculitis resulting in thrombosis which results in cerebral infarction.
CASE HISTORY:
A 50 year old male presented to ED with alleged history of snake bite 2 days back and had taken ayurvedic medication. Patient was in altered sensorium, irritable and restless.
Vitals were Pulse: 100bpm; BP: 90/60mmhg; GCS: E1V2M2.
Patient was intubated in view of low GCS. RFT, LFT, Coagulation profile was normal but WBCT was    >20mins. CT brain was showing multifocal infarcts in bilateral frontal, parietal, Left temporo occipital cortex, left thalamus. Patient received 30 vials of ASV. His condition continued to deteriorate and patient died 3 days post admission.
CONCLUSION:
In summary snake bite are common particularly in rural areas and there is a need to keep the possibility of cerebral infarction as one of the complications.