title: Hypertensive encephalopathy following snake bite in a child: A diagnostic dilemma.
abstract: Children in rural India are a vulnerable group for snake bites. Improper elicitation of history and atypical presentations could lead to misdiagnosis and delay in treatment. We are reporting the case of an 8-year-old male child who presented with convulsions, unconsciousness and hypertension who was initially managed as a case of hypertensive encephalopathy showing no sign of improvement even after 20 hs. The history when reviewed suggested neurotoxic snake bite although the patient did not have any classical local findings. Anti-snake venom administration was followed by prompt recovery. We therefore suggest that snake bite should be considered in patients from rural background presenting with hypertension, convulsion and unconsciousness, even in the absence of classical features of snake bite.
authors: Department of Anaesthesiology, J N Medical College, Aligarh Muslim University, Uttar Pradesh, India.
authors: Syed Moied
authors: SM
authors: Ahmed
authors: Mozaffar
authors: M
authors: Khan
authors: Zeeba
authors: Z
authors: Zaka-Ur-Rab
authors: Abu
authors: A
authors: Nadeem
authors: Shiwani
authors: S
authors: Agarwal
keywords: Hypertension; pediatric; snake bite
references: Toxicon. 2001 Sep;39(9):1353-7
references: 11384723
references: J Emerg Med. 2006 Apr;30(3):319-20
references: 16677986
references: J Infect Public Health. 2010;3(2):83-7
references: 20701896
references: J Pediatr Surg. 1998 Nov;33(11):1593-5
references: 9856873