Abstract
Background : Viper snake constitute 10% of overall snake bites in India. Coagulation abnormalities due to these are traditionally known, but laboratories have rarely reported derangments beyond a few days of envenomation. Neurological symptoms attributated to viperidae are one of it’s kind. Methods : A 5 year old boy presented to us with history of Viper snake bite on right middle finger. He had deranged coagulation profile to start with which warranted a dose of antisnake venom. Over the course, he had persistent and recurrent deranged bleeding profile requiring repeat dosages of antisnake venom. Later he developed hypertensive emergency exhibiting in the form of posterior reversible encephalopathy syndrome. This displayed it’s effect in form of seizures. Also its worth mentioning here that he experienced anaphylaxis to the antisnake venom which revealed itself as maculopapular rash and later progressed to acute respiratory distress syndrome mandating ventilator support. Results : This eventful post bite sequelae finally subsided gradually. The patient was discharged after three weeks. Conclusion : Patients with viper snake bite can have persistent and recurrent coagulopathy and neurotoxic effect. Frequent monitoring for same is advised. Atypical display of Viperadae, should be kept in mind.
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