title: An uncommon initial presentation of snake bite-subarachnoid hemorrhage: A case report with literature review.
abstract: Snake bites are very common in India, particularly in West Bengal. Snake bite can cause various hematological, neuromyopathical complications. It can be very fatal if not detected and treated early. Timely intervention can save the patient. We are reporting a case of hematotoxic Russell viper snake bite presented with subarachnoid hemorrhage. Patient was successfully treated with antivenom serum (AVS) along with other conservative management. Subarachnoid hemorrhage as an initial presentation in viper bite is very rare and we discuss the case with proper literature review.
authors.affiliation: Department of Internal Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Manoj Kumar
authors.initials: MK
authors.lastname: Roy
authors.affiliation: Department of Internal Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Joydip
authors.initials: J
authors.lastname: Dutta
authors.affiliation: Department of Internal Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Apratim
authors.initials: A
authors.lastname: Chatterjee
authors.affiliation: Department of Internal Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Anup
authors.initials: A
authors.lastname: Sarkar
authors.affiliation: Department of Internal Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Koushik
authors.initials: K
authors.lastname: Roy
authors.affiliation: Department of Internal Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Rakhesh
authors.initials: R
authors.lastname: Agarwal
authors.affiliation: Department of Internal Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Durjoy
authors.initials: D
authors.lastname: Lahiri
authors.affiliation: Department of Internal Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Amrito
authors.initials: A
authors.lastname: Biswas
authors.affiliation: Department of Internal Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Anupam
authors.initials: A
authors.lastname: Mondal
authors.affiliation: Department of Internal Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Pranab
authors.initials: P
authors.lastname: Maity
authors.affiliation: Department of Internal Medicine, Institute of Post Graduate Medical Education and Research, Kolkata, West Bengal, India.
authors.forename: Jotideb
authors.initials: J
authors.lastname: Mukhopadhyay
keywords: Russell viper; antivenom serum; subarachnoid haemorrhage