Journal of Pediatric Neurology 2018; 16(06): 397-399
DOI: 10.1055/s-0037-1608639
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Acute Pituitary Apoplexy following Snake Bite: A Rare but Treatable Complication

Narendrakumar Barad
1   P.D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India
› Author Affiliations
Further Information

Publication History

18 July 2017

30 September 2017

Publication Date:
09 November 2017 (online)

Abstract

Poisonous snake bite is one of the important public health hazards in developing countries, such as India, where majority of the population resides in rural areas. Among various poisonous species of snakes, Russell's viper venom causes neurotoxicity, myotoxicity, hemolysis, and coagulopathies leading to shock and acute kidney injury. Pituitary apoplexy causing acute hypopituitarism is an extremely rare but treatable complication following viper bite. Here in, we report the case of a 14-year-old boy admitted with Russell's viper bite complicated by disseminated intravascular coagulation (DIC), acute kidney injury, and pituitary apoplexy with secondary acute hypopituitarism.

 
  • References

  • 1 Eapen CK, Chandy N, Kochuovarkey KL. Unusual complication of snake bite: hypopituitarism after viper bites. Animal, Plant and Microbial Toxins; Boston, MA: Springer; 1976. (2):467–473
  • 2 Warrell DA. Snake venoms in science and clinical medicine. 1. Russell's viper: biology, venom and treatment of bites. Trans R Soc Trop Med Hyg 1989; 83 (06) 732-740
  • 3 Antonypillai CN, Wass JA, Warrell DA, Rajaratnam HN. Hypopituitarism following envenoming by Russell's vipers (Daboia siamensis and D. russelii) resembling Sheehan's syndrome: first case report from Sri Lanka, a review of the literature and recommendations for endocrine management. QJM 2011; 104 (02) 97-108
  • 4 Chakraborty PP, Bhattacharjee R. Bilateral parotid swelling: an unusual complication of viper bite. J Assoc Physicians India 2010; 58: 460
  • 5 Dissanayake P, Sellahewa KH. Acute myocardial infarction in a patient with Russell's viper bite. Ceylon Med J 1996; 41 (02) 67-68
  • 6 Thewjitcharoen Y, Poopitaya S. Ventricular tachycardia, a rare manifestation of Russell's viper bite: case report. J Med Assoc Thai 2005; 88 (12) 1931-1933