Acute transverse myelitis following carpet viper snakebite in Northeast Nigeria
Snakebite is a major cause of death and disability in developing countries. The common clinical features of snake envenomation include bleeding, acute kidney injury, dilated pupils and muscle paralysis resulting from the deleterious effects of venom toxins on human plasma proteins, cell membranes, muscle fibers and vascular endothelium. Snakes also harbour pathogenic organisms that may infect bite victims during envenomation, but few studies have described this phenomenon. We herein report a rare case of acute transverse myelitis occurring after snakebite in Northeast Nigeria, and discuss the possible role of bacteria and viruses after excluding other potential causes of myelopathy. This knowledge may help improve the care of snakebite victims among internists and emergency physicians.
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