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Journal of Case Reports
Multiple Endocrine Gland Apoplexy Post-snake Bite

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Deepak Amalnath, Dipti Baskar
Department of General Medicine, JIPMER, Puducherry-605001, India.
Corresponding Author:
Dr. Dipti Baskar
Email: diptibaskar@gmail.com 
Received: 09-MAY-2016 Accepted: 02-AUG-2016 Published Online: 10-OCT-2016
DOI: http://dx.doi.org/10.17659/01.2016.0115
Abstract
Background: Ophitoxemia is a major concern in tropical and subtropical countries resulting in multiple effects mostly in acute phase. Late sequelae such as renal failure are seen especially in vasculotoxic snake bites. There are very few case reports describing endocrine dysfunction as a late complication of vasculotoxic bites resulting in significant morbidity in such patients. Case Report: We report a patient who presented with pituitary and adrenal insufficiency after many months of snake bite. Pan-hypopituitarism and adrenal insufficiency were suspected and hormonal replacement was given which significantly improved the patient symptoms.  Conclusion: High index of suspicion of multiglandular endocrine insufficiency should be suspected in post snake bite patients.
Keywords : Adrenal Insufficiency, Hypopituitarism, Pituitary Diseases, Snake Bites, Renal Insufficiency.
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