TY  - JOUR
PY  - 2013//
TI  - Hypertensive encephalopathy following snake bite in a child: A diagnostic dilemma
JO  - Indian journal of critical care medicine
A1  - Ahmed, Syed Moied
A1  - Khan, Mozaffar
A1  - Zaka-Ur-Rab, Zeeba
A1  - Nadeem, Abu
A1  - Agarwal, Shiwani
SP  - 111
EP  - 112
VL  - 17
IS  - 2
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 0972-5229
UR  - http://dx.doi.org/10.4103/0972-5229.114819
ID  - ref1
ER  -