Hepatotoxic effect of elapid venom-a rare manifestation: Case report.

Chaudhuri, Partha K; Azam, Nazifa; Madhur, Abha; Singh, Jyotsna; Kumar, Ranvijay; Prasad, Anupa; Sarkar, Pratik · J Family Med Prim Care · 2025

case_report · Level V

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Abstract

Snake bite is a neglected tropical disease affecting millions of people across the globe. The highest burden exists in South East Asia and Sub-Saharan Africa. Around 45900 deaths could be attributed to snake bites in India with 25% of these deaths occurring in children between age group of 5-14 years. Snake bites can broadly present with hemotoxic and neurotoxic manifestations. Management of snake envenomation comprises of first aid measures, administration of ASV (Anti-Snake Venom), strict monitoring, supportive management in the form of pain relief, correcting coagulation parameters and fluid and haemodynamic monitoring. We are reporting a case of Elapid poisoning, which besides the usual neurotoxic manifestation, also presented with hepatotoxicity which is an uncommon presentation.