VENOMOUS ENCOUNTER: A CASE REPORT ON SNAKE BITE DURING FULL-TERM GESTATION WITH DELAYED MANIFESTATION

Background: Snake bite is uncommon among pregnant women, that too presentation in third trimester with late presentation, with envenomation is rare. Knowledge about the toxic symptoms and management of snake bite poisoning is very low due the rarity of cases. Case report: Presenting a case of 26 year old female, Primigravida with Premature Rupture of Membranes with Snake bite in Acute Kidney Injury with Disseminate Intravascular Coagulopathy. Appropriate care and management led to the survival of both mother and baby. Discussion: In India, 216 snake species exist, 52 are venomous. Elapids like cobras, kraits, vipers, and sea snakes pose threats. Venom potency varies with seasons and snake color. Envenomation symptoms include local pain, systemic effects, and coagulopathy. Pregnancy complicates management antivenom and careful monitoring are vital. Conclusion: Acute kidney injury with disseminated intravascular coagulopathy arising from systemic poisoning due to snake bite in pregnancy is difficult and challenging. Obstetric and medical line of treatment depends on the severity of envenomation, gestational age at presentation, timing, duration and quality of treatment.