Snake Bite
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2021 ◽  
Vol 11 (3) ◽  
pp. 653-658
Esmeralda Thoma ◽  
Lordian Nunci ◽  
Armela Priftaj ◽  
Sonila Bitri ◽  

2021 ◽  
Vol 53 (1-2) ◽  
pp. 23-26
SK Moazzem Hossain ◽  
Farjana Kabir ◽  
SK Mamun Ar Rashid

Background: Snake bite is an important but under recognised public health issue in Bangladesh. It is one of the important cause of mortality in our country specially in this southern part of Bangladesh. Objective: This study was carried out to evaluate the common type of snake bite in local area with their clinical presentation and outcome of admitted patients in hospital. Methods: Patients of snake bite diagnosed by history and clinical examination were consecutively selected for the study after fulfillment of inclusion criteria in the inpatient department of medicine ward, Khulna Medical College Hospital from July 2017 to June 2018. Data were collected and analysed afterwards. Results: Among 54 snake bite patients 27 (50%) were female and 27 (50%) were male. Twenty nine (53.7%) were venomous snake bite and 25 (46.3%) were non venomous. The common victims were farmers 14 (25.9%) and housewife 19 (36.2%). The bites were commonly encountered during walking (30%) in rural area. Bite also occured during sleeping (20%). The majority of the snake bite was observed during the month of June & July. Total 95% patient applied multiple tight tourniquet in the affected limb. A common local practice was to receive prehospital treatment from 'Ohzas'. Among 29 poisonous cases, drooping of the upper eyelid was present in 29 (100%) patients, External Opthalmoplegia and broken neck sign were present in 19 (66.6%) patients. Among the venomous snake bite cases 25 (93%) patients recovered completely after getting antivenom. Conclusion: Neurological manifestation (Ptosis, Opthalmoplegia, Broken neck sign) are very common in venomous snake bite. Early detection and application of antivenom is needed for better outcome. Treatment of venomous snake bite with Polyvalent serum is successful and safe. Bang Med J Khulna 2020: 53 : 23-26

Ajith Venugopalan ◽  
Smrithi Vijaykumar ◽  
G. Sreekumar ◽  
Kripanadhi Karunanithi ◽  
Bharath Prasad ◽  

Snakebite is an environmental and occupational hazard in India. Death and disabilities due to snakebite remains a major public health challenge. For the fight against this battle a greater investment should be focused on the preventive measures. This includes understanding of the common seasons of snake bites, location and also the site of snake bite. Understanding these will help in taking better preventive measures. This is a 6-year retrospective observational study of 70 venomous snake bite cases admitted to a tertiary care center in South India. Inclusion criteria has been all confirmed case of envenomation by venomous snake bite. Chi square test was done to find the association between categorical variables. The study sample size is 70. Mean age in our study is 34.66 ± 18.57 years. 57.1% were male. 79% snake bites occurred outdoor. 57.1 % patients had local reaction along with hemotoxic/neurotoxic symptoms. 28.5% patients had only local reaction. 84% bites occurred in lower limb. 43% bites occurred in the foot. Statistically borderline significant correlation between site of bite and local reaction alone (p=0.05). We could not find a statistically significant correlation between site of bite and local reaction with hemotoxic / neurotoxic symptoms (p=0.236). 59% snake bites occurred during Monsoon season this was followed by post monsoon season. Snakebite is a neglected tropical disease and remains as an underestimated cause of accidental death in modern India. Significance of bite site along with seasonal variations in snakebites helps in formation of effective preventive strategies, which along with prompt primary treatment holds the key in reducing the impact of venomous snakebite.

2021 ◽  
Vol 21 (1) ◽  
Ayékotchami Jacques Dossou ◽  
Adandé Belarmain Fandohan ◽  
Agossou Bruno Djossa ◽  
Achille Ephrem Assogbadjo

2021 ◽  
pp. 1753495X2110192
Lizemarie Wium

Neurotoxic snake bites may cause paralysis within 1–8 h. Appropriate management includes early and adequate volumes of antivenom as well as ventilatory support. This case study describes the management of a pregnant woman who was bitten on a farm in rural South Africa and transferred to an academic hospital, 300 km away. An approach to the management of snake bites in pregnancy is discussed as well as a review of the current known literature of venomous snakes and the use of antivenom in pregnancy. This report aims to encourage further reporting of snake bites in pregnancy.

M. P. Harikrishnan ◽  
C. R. Anil Kumar ◽  
M. K. Anand ◽  
J. Earali

Background. Snake bite envenomation is a major public health problem in India with a high mortality rate. The major complications following a hemotoxic snake bite are disseminated intravascular coagulation (DIC), shock, acute kidney injury (AKI), acute respiratory distress syndrome (ARDS) and coagulopathy. The study explores a possible correlation of the haematological parameters studied to complications like DIC, AKI, acute renal failure (ARF), ARDS, shock and gastrointestinal (GI) bleed. Objective. The aim of the study was to find out the effect of snakebite envenomation on the major haematological parameters of the body in relation to complications. Methods. This cross-sectional study was conducted during a period of 18 months. 150 patients were included in the study after obtaining their informed consents. Data collection was done using a proforma. The study also compared clotting time (CT) by capillary tube method and whole blood clotting time at 20 minutes (WBCT20). SPSS software was used for statistical analysis. Results. Among the people with complications, the majority (52%) of participants had AKI, 26% of them requiring dialysis, 16.7% participants had GI bleed, 11.3% participants had shock and 10% participants had DIC. Conclusions. A prolonged bleeding time was found to be one of the most helpful haematological parameters in predicting shock and AKI. Clotting time by both capillary tube and WBCT20 methods were comparable in predicting complications. Objective: The objective of this study was to find the effect of snakebite envenomation on the major haematological parameters of the body. Material and method: This cross-sectional study was conducted over a period of 18months. A total of 150 patients were included in the study after obtaining informed consent. Data collection was done using a proforma. SPSS software was used for statistical analysis. Results: Among the people with complications, the majority (52%) of participants had AKI, followed by 26% participants who required Dialysis, 16.7% participants had GI bleed, 11.3% participants had the shock and 10% participants had DIC. Conclusion: A prolonged bleeding time was found to be one of the most helpful haematological parameters in predicting the shock and AKI.

Bhagwan Pandharinath Gore

Background: Snakebite is a common medical emergency and an occupational hazard commonly seen in the rural as well as suburban population. In this study to determine the utility of Serum CRP and LDH as Markers of hemotoxicity in snake bite victims. Materials & Methods: This hospital based prospective study was conducted a total 60 admitted patients in the department of general medicine at Vedantaa Institute of Medical Sciences, Palghar during June 2020 to December 2020. The patients were included were with alleged history of snake bite & history of unknown bite but with symptoms and signs compatible with snake bite envenomation otherwise patients were excluded. Results: Most frequent site of snakebite was the lower limbs constituting 85.0% of bites. Majority (41.7%) of the patients presented with features compatible with moderate envenomation. Serum CRP showed a significant elevation in their levels in the severe as compared to the mild envenomed group. Conclusion: Snakebite commonly affects people in the younger age group & hemotoxic envenomation is most common manifestation of envenomation observed. Keywords: Snakebite, Envenomation, Serum CRP, LDH, Haematological Parameters.

2021 ◽  
Vol 3 (2) ◽  
A.H.M. Mahbubur Rahman

Folk medicinal plants used by herbal practitioners in and around Rajshahi metropolitan city, Bangladesh were recorded. The present study include 111 medicinal plants used to cure various diseases such as anemia, asthma, burning sensation, blood disease, bronchitis, cough, chicken pox, constipation, dysentery, diarrhea, diabetes, eczema, fever, headache, itches, jaundice, menstrual disease, paralysis, piles, sex problems, skin diseases, snake-bite, toothache, worm, wound etc. The present documentation of medicinal plants from the study area provides recognition to the existing knowledge and helps in conservation of important medicinal plants for the betterment of the society. 

2021 ◽  
Vol 6 (2) ◽  
pp. 47-49
Anju Bala ◽  
Parul Bhardwaj ◽  
Vipan Garg

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.

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