Document Detail


Hypertensive encephalopathy following snake bite in a child: A diagnostic dilemma.
MedLine Citation:
PMID:  23983418     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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:
Syed Moied Ahmed; Mozaffar Khan; Zeeba Zaka-Ur-Rab; Abu Nadeem; Shiwani Agarwal
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine     Volume:  17     ISSN:  0972-5229     ISO Abbreviation:  Indian J Crit Care Med     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-08-28     Completed Date:  2013-08-28     Revised Date:  2013-08-30    
Medline Journal Info:
Nlm Unique ID:  101208863     Medline TA:  Indian J Crit Care Med     Country:  India    
Other Details:
Languages:  eng     Pagination:  111-2     Citation Subset:  -    
Affiliation:
Department of Anaesthesiology, J N Medical College, Aligarh Muslim University, Uttar Pradesh, India.
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