Severe Complications Following Snakebite in a Pediatric Patient: Pneumothorax, Cardiac Arrest, and Brain Death

Snakebites are a significant health concern in Somalia, particularly in rural and agricultural areas, where encounters with venomous snakes are common. This case report discusses the severe complications resulting from a snakebite in an 8-year-old girl who presented with swelling, a traumatic ulcer, and altered mental status after a suspected animal bite. Despite receiving timely antivenom therapy and broad-spectrum antibiotics, the patient experienced rapid deterioration, including seizures, altered consciousness, and systemic shock. Laboratory results indicated severe metabolic disturbances, including hyperglycemia, elevated liver enzymes, and signs of sepsis. Despite aggressive treatment, including intubation, fluid resuscitation, and tetanus prophylaxis, the patient ultimately developed multiple organ failure and was declared brain-dead. The family opted for the withdrawal of care. This case highlights the importance of early diagnosis and comprehensive management of snakebite envenomation in resource-limited settings and underscores the potential for unusual clinical presentations leading to fatal outcomes.