Coral snake envenomation induced acute pancreatitis

Abstract Background Coral snakes belong to the elapid group. They are venomous and are highly neurotoxic, but their bites are not considered lethal to life. We describe a case of coral snake poisoning leading to acute pancreatitis, which is a very rare complication reported in literature after snake...

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Main Authors: Erum Sajjad, Sumayya Sami, Iffat Khanum
Format: Article
Language:English
Published: SpringerOpen 2025-02-01
Series:The Egyptian Journal of Internal Medicine
Subjects:
Online Access:https://doi.org/10.1186/s43162-025-00413-0
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author Erum Sajjad
Sumayya Sami
Iffat Khanum
author_facet Erum Sajjad
Sumayya Sami
Iffat Khanum
author_sort Erum Sajjad
collection DOAJ
description Abstract Background Coral snakes belong to the elapid group. They are venomous and are highly neurotoxic, but their bites are not considered lethal to life. We describe a case of coral snake poisoning leading to acute pancreatitis, which is a very rare complication reported in literature after snake envenoming. Case presentation A young female patient presented with complaints of generalized weakness, muscle spasms, and respiratory distress after the coral snake bite 1 day ago. She had bilateral ptosis and muscle power of 3/5 in all her limbs at the time of presentation for which she received anti-venom along with low-dose intravenous neostigmine in our hospital which improved her ptosis and muscle weakness gradually over 3 days. On day 4th of her admission, she developed severe generalized abdominal pain and tenderness in the epigastrium. Acute pancreatitis was diagnosed after appropriate investigations which was treated with supportive therapy, and the patient improved clinically. Conclusion Acute pancreatitis after coral snake envenomation is a rare and serious complication. Timely identification and initiation of appropriate management can improve clinical outcome of the patient.
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spelling doaj-art-6c0316f8537f462eb00746e69da339752025-02-09T12:55:13ZengSpringerOpenThe Egyptian Journal of Internal Medicine2090-90982025-02-013711410.1186/s43162-025-00413-0Coral snake envenomation induced acute pancreatitisErum Sajjad0Sumayya Sami1Iffat Khanum2Aga Khan University HospitalAga Khan University HospitalAga Khan University HospitalAbstract Background Coral snakes belong to the elapid group. They are venomous and are highly neurotoxic, but their bites are not considered lethal to life. We describe a case of coral snake poisoning leading to acute pancreatitis, which is a very rare complication reported in literature after snake envenoming. Case presentation A young female patient presented with complaints of generalized weakness, muscle spasms, and respiratory distress after the coral snake bite 1 day ago. She had bilateral ptosis and muscle power of 3/5 in all her limbs at the time of presentation for which she received anti-venom along with low-dose intravenous neostigmine in our hospital which improved her ptosis and muscle weakness gradually over 3 days. On day 4th of her admission, she developed severe generalized abdominal pain and tenderness in the epigastrium. Acute pancreatitis was diagnosed after appropriate investigations which was treated with supportive therapy, and the patient improved clinically. Conclusion Acute pancreatitis after coral snake envenomation is a rare and serious complication. Timely identification and initiation of appropriate management can improve clinical outcome of the patient.https://doi.org/10.1186/s43162-025-00413-0Acute pancreatitisCoral snakeEnvenomationAnti-venomPhospholipase A2
spellingShingle Erum Sajjad
Sumayya Sami
Iffat Khanum
Coral snake envenomation induced acute pancreatitis
The Egyptian Journal of Internal Medicine
Acute pancreatitis
Coral snake
Envenomation
Anti-venom
Phospholipase A2
title Coral snake envenomation induced acute pancreatitis
title_full Coral snake envenomation induced acute pancreatitis
title_fullStr Coral snake envenomation induced acute pancreatitis
title_full_unstemmed Coral snake envenomation induced acute pancreatitis
title_short Coral snake envenomation induced acute pancreatitis
title_sort coral snake envenomation induced acute pancreatitis
topic Acute pancreatitis
Coral snake
Envenomation
Anti-venom
Phospholipase A2
url https://doi.org/10.1186/s43162-025-00413-0
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AT sumayyasami coralsnakeenvenomationinducedacutepancreatitis
AT iffatkhanum coralsnakeenvenomationinducedacutepancreatitis