DOI: 10.36347/sjmcr.2020.v08i05.003

Pages: 516-519

Introduction: Snake bites are a public health problem in the world. The incidence of snake bites is higher in children than in adults. An estimated 2.4 million envenomation which causing 94,000 to 125,000 deaths each year. We are reporting 2 clinical envenomation cases in two children admitted in the department of Pediatric at Hôpital du Mali. Observation: It was a girl aged 7 and a boy aged 14 bitten by vipers in the fields. The girl did not receive antivenom because her family opted for traditional treatment. One month after the accident, she was admitted for obsession. An emergency brain scan revealed a subarachnoid hemorrhage associated with an extradural hematoma which resolved spontaneously after 10 days of treatment. The second victim was admitted for coma and necrosis of the 2nd right toe despite the administration of antivenom on the day of the bite. The brain scan and lumbar puncture confirmed the subarachnoid hemorrhage. He died a few hours after his admission. Conclusion: Management of snake-bite edema is problematic in rural areas because of the disruption and high cost of antivenom, but also because of the use of medicinal plant as a first-line treatment.