Early Morning Bulbar Weakness, Why and When to Suspect Snake Bite

Snakebite is a neglected tropical disease which is of global importance. The severity of respiratory muscle paralysis and the time to recover depends upon the dose of the venom injected, the severity of the venom, the species of the snake, the time of presentation to the hospital, and the time and dose of administration of anti - snake venom (ASV). The reasons for this delayed neuromuscular recovery still remain a stumper. We have highlighted such a case of a young adult who had delayed neuromuscular recovery and prolonged ventilatory support following a neurotoxic snakebite.