Snakebite Causing Facial and Lingual Tremors: A Case Report

Abstract

Snakebite is a significant public health problem causing around 2.7 envenomations and 138,000 deaths globally. History may sometimes be unclear or misleading, which can cause a delay in diagnosis. Neuroparalytic, hemotoxic, and myotoxic are the common snake bite manifestations. Neuroparalytic snake bites rarely cause involuntary movements. Here we report a case of a 26-year-old female patient who sustained a snake bite and developed tremors in the face and tongue. She improved with mechanical ventilation, anti-snake venom, atropine-neostigmine, and calcium gluconate. She was discharged after seven days of hospital stay and now maintaining regular follow-up in the outpatient clinic.

Monoclonal-Based Antivenomics Reveals Conserved Neutralizing Epitopes in Type I PLA2 Molecules from Coral Snakes

“…Our results demonstrate potential applicability, especially to neutralize the lethal activity of coral snakes from venoms enriched with PLA 2 , including M. fulvius , M. moscatensis , and M. dumerilli , which have 58%, 55%, and 52% of PLA 2 , respectively [ 29 ]. Furthermore, other preparations may improve antivenoms’ effectiveness, such as combining polyclonal and monoclonal antibodies with neostigmine, a cholinesterase inhibitor that has been applied to overcome the effects of α-neurotoxins [ 64 , 65 ]. Future studies must confirm if this supplementation to antielapidic sera will produce more protection.…”