DOI: 10.36347/sjams.2015.v03i05.004

Pages: 1830-1833

Envenoming by poisonous snakes is an occupational hazard often faced by farmers and farm laborers in tropics. Cobra envenomation is an extremely variable with profound neurological abnormalities (eg, cranial nerve dysfunction, abnormal mental status, muscle weakness, paralysis, Cardiotoxicity and respiratory arrest). Worldwide estimates vary from 1.2 to 5.5 million snakebites, 421,000 to 2.5 million envenomings, and 20,000 to 125,000 deaths. We report case of a 33-year-old male who was bitten by an Indian cobra snake and developed respiratory failure and variable AV block which improved over 17 days. Cardiotoxicity after a snake bite is often acute in onset and relatively rare complication. Physicians should have a low threshold to suspect Cardiotoxicity and aware of systemic toxicity, myocardial dysfunction and arrhythmias.