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South Asian subcontinent is among the highest burden areas in respect of snake bite. India is commonest place in this subcontinent with mortality following snake envenomation. The four most important venomous snakes in India are cobra (Naja naja) and common krait (Bungarus caeruleus), which are neurotoxic, and the saw-scaled viper (Echis carinatus) and Russell’s viper (Daboia russelii), which are hemotoxic1. Various autonomic dysfunction following neuro-paralytic envenomation with krait and cobra has been reported. Timely recognition and appropriate management of snake envenomation along with autonomic dysfunction helps to reduce morbidity and mortality. Keywords: Autonomic dysfunction, hypertension, antisnake venom, blood pressure.

Plasmablastic lymphoma (PBL) is classified under the category of 'Mature B-cell neoplasms'. Plasmablastic lymphomas are the most common and account for 30% of all the cases type. PBL is an uncommon B-cell tumor which is limited to the jaw and oral cavity at presentation but can spread to distant sites at later stages type. Here we case report a 35 year old male presented to OPD as hard palate mass which turns to plasmablastic lymphoma after investigation. Keywords: Plasmablastic Lymphoma (PBL), Triglycerides (TG), Low density lipoproteins (LDL).

Tuberculosis of ear is a rare entity. Early diagnosis and prompt treatment can prevent many serious complications. Here we report a case of 45 year old female with middle ear tuberculosis which was cured with mastoid exploration followed by anti tubercular treatment. Keywords: Tuberculosis, TB, Extrapulmonary Tuberculosis, Middle Ear Tuberculosis, Sub-Himalayan Region