BILATERAL PTOSIS AND SEVERE RESPIRATORY DISTRESS AS NEUROTOXIC SYMPTOM AFTER KRAIT ENVENOMATION IN CENTRAL INDIA: CASE REPORT AND REVIEW OF LITERATURE

Snake bite is a very well-known medical emergency presented in an Emergency Department, leading to life threatening condition if not treated adequately. Snake bite is very common in rural areas of central India where medical facilities are not well developed, so mortality rates are higher from respiratory arrest is evident compared to developed cities of state. Among the several snake families, krait bites are known to result in neurological symptoms, including ptosis, external ophthalmoplegia, paralysis of pharyngeal muscles, followed by respiratory and generalised muscle paralysis. We report a case of 45-year-old female from rural area presented to us with Snake bite followed by a bilateral ptosis and respiratory muscle paralysis with abdominal pain after getting primary treatment, she was managed in our hospital with mechanical ventilation, anti-snake venom and other supportive measures.