Case Report ACUTE NEUROMUSCULAR RESPIRATORY FAILURE: A DIAGNOSTIC CHALLENGE DURING THE COVID-19 PANDEMIC

Abstract

Background:

Acute respiratory failure is a common presentation in COVID-19 patients, but other causes should not be overlooked. Neurotoxic snake bites can also cause acute respiratory system involvement, though they are rare.

Case Presentation:

We report the case of a 20-year-old male who presented to the emergency department during the peak of the COVID-19 pandemic with sudden onset dyspnea and low-gradefever. Although the absence of any significant history initially raised suspicion of COVID-19 induced lung involvement, radiological findings and PCR swab results ruled out COVID-19 infection. Reevaluation revealed a neuromuscular cause due to recent flooding in the patient's area and subsequent snakebite. Empiric anti-venom therapy was initiated, and the patient showed remarkable recovery after 24 hours, weaning off the ventilator.

Conclusion:

This case highlights the importance of considering alternative diagnoses in patients presenting with acute respiratory failure during the COVID-19 pandemic, especially in regions with a higher risk of snakebite.