Blindness and scalp haematoma in a child following a snakebite.

Abstract:

BACKGROUND:Snake envenomation is a major public health problem of the Savannah regions of West Africa. Ocular manifestations of snakebites are rare with few reports documenting blindness as a complication. OBJECTIVE:To highlight an unusual manifestation of snake bites and its attendant problems. METHODS:A report of scalp haematoma and blindness in a 10 year old child presenting 2 weeks after a snake bite (presumably carpet viper) is a rare manifestation. Local swelling, epistaxis, bilateral proptosis, exposure keratopathy and use of traditional eye medications were associated findings. Anti-venom though administered late saved the child's life but blindness could not be reversed. RESULTS:Ocular ultrasonography revealed layered retrobulbar collection in the left eye, presumably due to hemorrhage. The skull x-ray showed a soft tissue swelling and aspirate from scalp swelling was bloody. Cranial Computed Tomography (CT) scan done late detected no abnormalities. CONCLUSION:Snakebite is associated with lifelong morbidity. Ocular manifestations must be treated as emergency. This case highlights the effect of ignorance and poverty in a setting of a common medical emergency leading to blindness and reduced quality of life.

journal_name

Afr Health Sci

journal_title

African health sciences

authors

Katibi OS,Adepoju FG,Olorunsola BO,Ernest SK,Monsudi KF

doi

10.4314/ahs.v15i3.46

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

1041-4

issue

3

eissn

1680-6905

issn

1729-0503

pii

jAFHS.v15.i3.pg1041

journal_volume

15

pub_type

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