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

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.