Keywords
Hypopituitarism; Viper bite
Abstract
Introduction: Hypopituitarism is a clinical syndrome characterized by deficiency of pituitary hormone production. Snake bite is an uncommon cause of hypopituitarism. Envenoming by poisonous animals is an occupational hazard often faced by farmers and farm laborers in tropics. Viperine snake bites cause local cellulitis, tissue necrosis, bleeding manifestations, disseminated intravascular coagulation (DIC), acute kidney injury (AKI), shock, cardiac arrhythmia, neurotoxicity, coma, and death. 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
Case Report: We report case of a 37-year-old female who was bitten by a Saw scaled viper snake and developed chronic hypopituitarism diagnosed after 11 months. Patient improved with treatment of essential hormones
Conclusion: Hypopituitarism after a snake bite is often insidious in onset and a rare complication. Diagnosis is often delayed due to unawareness causing significant morbidity. Physicians should have a low threshold to suspect hypopituitarism in snake bites
Citation
Sudulagunta SR, Sodalagunta MB, Khorram H, Sepehrar M and Noroozpour Z. Generalized Fatigue, Amenorrhea Due to Snake Bite? SM J Case Rep. 2015; 1(1): 1002.