CLINICAL AND LABORATORY PROFILE OF SNAKE BITE ENVENOMATION: A CROSSSECTIONAL OBSERVATIONAL STUDY AT A TERTIARY CARE CENTER
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 40
Abstract
BACKGROUND Snake bites can be deadly if not treated quickly. A study was conducted to identify the clinical and laboratory profile of snake bite envenomation and to assess the risk factors of mortality. MATERIALS AND METHODS This was a cross-sectional observational study which included all patients with snake bite envenomation admitted to a tertiary care center in Kerala during January 2015 to December 2015. Clinical features, laboratory parameters, complications and outcome of snake bite were studied. RESULTS A total of 56 patients were admitted with envenomation. Most of the patients (24) were in age group of 30-50 years and 17 patients were above 50 years. Majority of patients were males (58.9%). Among the 56 patients with envenomation, 89.2% (50) of the patients had haemotoxic envenomation and rest (6) of them had neurotoxic bites. Majority of bites were during day time (60.7%). Major symptoms of snake bite envenomation were swelling (62.5%), bleeding from site (30.4%), redness (25%), vomiting (19.6%), abdominal pain (12.5%). Neurotoxic signs of snake bites were ptosis (66.7%), ophthalmoplegia (16.7%) and dysphagia (16.7%). Out of 56 patients, 12% (6) developed anaphylaxis after anti-snake venom (ASV). Dialysis was required in 19.6% and mechanical ventilation required in 7.1% of patients. There were 5 (8.9%) deaths; all of them belonged to haemotoxic envenomation. Oliguria, mechanical ventilation, leukocytosis, the time between bite and treatment-more than 24 hours was associated with poor outcome. CONCLUSION Haemotoxic envenomation was more common. The time between bite and treatment alters the prognosis. Mortality was observed only in haemotoxic envenomation. Oliguria, leukocytosis and mechanical ventilation were associated with poor outcome.
Authors and Affiliations
Aruvikuzhil Purushotaman Biju, Jijith Krishnan
Keywords
Related Articles
- EP ID EP575618
- DOI 10.18410/jebmh/2018/585
- Views 74
- Downloads 0
A RARE CASE OF NEONATAL CEREBRAL VENOUS THROMBOSIS WITH HAEMORRHAGIC INFARCTION SECONDARY TO HYPERNATRAEMIC DEHYDRATION
PRESENTATION OF CASE A 12-day old male neonate admitted to our neonatal intensive care unit with history of poor feeding, lethargy since 2 days and one episode of seizure 2 hours before coming to the hospital. The baby w...
IMPACT OF JANANI SURAKSHA YOJANA ON INSTITUTIONAL DELIVERY AND PERINATAL DEATH
CONTEXT: In 2005 the National Rural Health Mission (NRHM) introduced the Janani Suraksha Yojana with the objective of reducing maternal and neonatal mortality by promoting institutional delivery among poor women. AIMS: P...
AGGRESSION IN INTRACTABLE EPILEPSY
Increased rate of aggression in patients with epilepsy is well known. However this phenomenon is relatively less studied systematically. AIMS: To study the prevalence of aggression in medically intractable complex partia...
VARIOUS CLINICAL PRESENTATIONS OF CHIKUNGUNYA FEVER AND ITS OUTCOME
BACKGROUND Chikungunya is an emerging and rapidly spreading disease with varied clinical scenario/presentations, affecting largely areas colonized by the Aedes mosquito. Diagnosing, treating of Chikungunya fever and post...
SCLEROSING MESENTERITIS - AN ARDUOUS TASK FOR CLINICIANS: RARE CASE REPORT
Sclerosing mesenteritis (SM) is a rare, chronic, benign fibrosing condition of small and large bowel mesentery, found incidentally in half of reported cases. This disease generally has an indolent course, eventually may...