Bilateral Parotid Enlargement Following Hematotoxic Snake Bite: A Unusual Sequelae of the Venomous Sting

Snake bite is a neglected tropical disease of global importance. India has the highest number of deaths (35,000-50,000 people dying per year) due to snakebites.1 Common venomous snakes in India are common cobra (Najanaja), saw scaled viper (Echiscarinatus), Russell’s viper (Daboia russelii) and krait (Bungarus caeruleus). Daboia is one of the most common species responsible for causing the most snake bite incidents and deaths among all venomous snakes on account of many factors, such as their wide distribution, aggressive response to host, and frequent occurrence in dense populated areas. Development of parotid swelling after snake bite is a rare entity. The number of case reports from India documenting such as unusual complication were very few. The published data documenting parotid enlargement even in world literature are limited.2 So we are reporting a case with bilateral parotid gland enlargement following snake envenomation for its rarity.