Neuroparalytic snake bite is a common emergency encountered in India. Common krait (Bungarus Caeruleus) and cobra (Naja Naja) are important snakes causing neuroparalysis. Kraits belong to Elapidae family. Envenomation by elapids usually causes neurotoxic manifestations. Krait bite doesn’t usually cause local signs & renal complications but may cause hematological abnormalities. Acute neuromuscular weakness with respiratory involvement is the most clinically significant neurotoxic effect. Neurotoxic manifestations in Krait bite are due to presynaptic inhibition, where calcium acts as a neurotransmitter; as a result, neurotoxic manifestations doesn’t respond to Atropine neostigmine therapy but can respond to Injection Calcium gluconate therapy.

Keywords: Krait, Elapidae, Neuroparalytic, Presynaptic inhibition, Injection Calcium gluconate.

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Dr B.Sreedevi

Department of General Medicine, Rangaraya Medical College, India