ABSTRACT

A 60-year-old man presented with weakness in bilateral lower limbs for 10 days and radicular pain in both lower limbs for 5 days. He had been bitten by a snake while working in a field 20 days earlier and developed cellulitis of left lower limb following the bite and had received tetanus toxoid and anti–snake venom for two days. He had clinical, biochemical, and electrophysiological features of Guillain-Barré syndrome, with motor and sensory neuropathy—suggestive of demyelinating pattern. Recognition of this unusual complication following snake bite or use of anti–snake venom / tetanus toxoid has considerable epidemiological, therapeutic, and prognostic significance.

Keywords:Guillain-Barrésyndrome, paraplegic variety, snake bite.