Abstract
Snakebite remains a public health problem in rural communities of tropical Africa and Asia. Globally, rare snakebite presentations are increasingly been reported presumably from the intensity of efforts by researchers in this domain to showcase this recently classified neglected tropical disease. Most venomous snakebite morbidity and mortality in Nigeria are caused by Echis ocellatus (carpet viper) and occur in the lower and upper limbs. Limb affectation has been associated with human activity at the time of bite. Our index patient is a child engaged in pastoral activity with a rare posterior neck viper bite following a fight in a rural Nigerian community. Challenges of diagnosis, availability of affordable and appropriate anti-snake venom, inadequate education of those engaged in high risk occupations, and the dearth of specific effective first aid for neck bites were encountered.
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