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CASE REPORT
Myocarditis along with acute ischaemic cerebellar, pontine and lacunar infarction following viper bite
  1. Alok Bhatt1,
  2. Aravind Ajakumar Menon1,
  3. Rama Bhat2,
  4. Kusugodlu Ramamoorthi2
  1. 1Kasturba Medical College, Manipal, Karnataka, India
  2. 2Department of General Medicine, Kasturba Medical College, Manipal, Karnataka, India

Summary

Cerebrovascular complications are rare following viper bites. A 65-year-old man presented with loss of consciousness and developed haemiparesis following a viper bite. Coagulation parameters were severely deranged. MRI showed acute ischaemic infarction on the left side in the precentral and postcentral gyrus, hemipons and cerebellum. Troponin T was elevated and transient left bundle branch block was seen. The patient had a good outcome following treatment with Anti Snake Venom and supportive therapy. Possible mechanisms of infarction are discussed.

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