Clinical Features And Management Of Snake Bite

Mehta, SR; Sashindran, VK

doi:10.1016/s0377-1237(02)80140-x

Cited by 53 publications

(47 citation statements)

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“…Ptosis was present in 88 patients, breathlessness in 38, anxiety in 125, slurring of speech in 19, confusion in 5, dysphagia in 32, blurring of vision in 34, throat discomfort (Including choking sensation) in 31, abdominal discomfort (including pain abdomen, nausea, vomiting) in 182 and 6 patients presented with frothing from mouth. The high incidence of abdominal discomfort among the patients might suggest more prevalence of kraits (6) in the Bundelkhand region. The total leukocyte count was found to be normal in 145 patients, increased in 78 patients and decreased in 2 patients.…”

Section: Discussionmentioning

confidence: 97%

Spectrum of Snake Bite in Bundelkhand Region

Jain¹,

Kumar²,

Azad³

et al. 2019

jemds

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BACKGROUND Snake bite is a significant health concern, especially in rural populations of tropical and subtropical countries. Under-reporting of snake bite incidence and mortality is common. High mortality persists due to poor health facilities in rural areas and delayed reporting. WHO now recognizes snake bite as a neglected tropical disease. In India around 90% snake bite are caused by the 'big four'-common Krait, Indian Cobra, Russell's Viper and Saw Scaled Viper. We wanted to study the spectrum of snake bite cases in tertiary care centre of Bundelkhand region. METHODS This is a retrospective descriptive study conducted in MLB Medical College, Jhansi. The data was collected from record files of patients who reported to the emergency department with the complaint of alleged snake bite between January 2018 to April 2019. Detailed history with reference to envenomation was obtained and time interval between bite and initiation of treatment was also noted. All data about clinical examination and blood investigations (including LFT, KFT, CBC, WBCT, ABG) were noted. RESULTS Male: female ratio was 1.53:1, with maximum number of patients in the age group of 31-40 years, followed by 21-30 years and 11-20 years. Majority of the cases reported in the season of monsoon. Most of the patients reported within 6 hours of getting snake bite (111 out of 225). 146 patients stayed till the completion of treatments while, 65 patients absconded and 12 left against medical advice for being kept under observation after symptoms were relieved. 2 patients expired due to respiratory failure. CONCLUSIONS High degree of suspicion of snakebite is required in patients who present with unexplained neurological manifestations, especially in monsoon season as in majority of patients there are no local manifestations at the site of bite. Special precautions are needed during monsoon and availability of plentiful anti-snake venom and facilities for artificial ventilation with fast ambulance service which can shift the patient to tertiary care centre is required. Most of the patients in Bundelkhand region reported within 6 hours to the tertiary care centre. Large number of patients at first consulted traditional healers or faith healers and it was only after the condition worsened that they reported to the hospital.

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Section: Discussionmentioning

confidence: 97%

Spectrum of Snake Bite in Bundelkhand Region

Jain¹,

Kumar²,

Azad³

et al. 2019

jemds

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“…The repeat dose of ASV is guided by clinical improvement and 20‐minutes WBCT which are repeated every six hours since liver takes at least six hours to produce clotting factors. Therefore, ASV has to be given to all patients with prolonged CT and the dose repeated every six hourly until the 20WBCT becomes normal …”

Section: Discussionmentioning

confidence: 99%

“…Therefore, ASV has to be given to all patients with prolonged CT and the dose repeated every six hourly until the 20WBCT becomes normal. 5,13 In the above two-case series, the patient's coagulopathy did not improve even after administration of two doses of ASV. However, the patient did not have any signs of bleeding and all blood works were within normal limit.…”

Section: Discussionmentioning

confidence: 99%

Is anti‐snake venom required for all snakebites: A case report

Dorji

2019

Clinical Case Reports

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The classification of snakebite is based on clinical examination and laboratory tests.In cases, of suspected hemotoxic snakebite, the anti-snakebite venom (ASV) is administered based on 20-minute whole blood clotting time. However, the use of ASV should be guided by the presence of bleeding diathesis along with raised clotting time. K E Y W O R D S20-minute WBCT, anti-snake venom, snakebite, whole blood clotting time How to cite this article: Dorji T. Is anti-snake venom required for all snakebites: A case report. Clin Case Rep. 2020;8:194-197. https ://doi.

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“…Snakebites have a wide range of effects, which go from simple puncture wounds to life-threatening illness and death (9)(10)(11)(12). As far as venomous snakes concerned, the degree of intoxication and symptoms vary greatly: (I) no intoxication ("dry" bite); (II) mild intoxication (local oedema and pain); (III) moderate intoxication (pain, oedema spreading out from the bite zone, and systemic signs); and (IV) severe intoxication (shock, severe coagulopathy, and massive oedema) (10).…”

Section: Snakebite Effects On the Human Bodymentioning

confidence: 99%

“…Systemic signs and symptoms are generalized, mainly haematologic and neuromuscular (9)(10)(11)(12). General symptoms are weakness, fatigue, anxiety, tachycardia, weak pulse, bradycardia, tachypnea, sweating, nausea and vomiting, diarrhoea and acute abdominal pain, hypothermia or chills and fever, regional lymphadenopathy, lymphangitis (developing in 1-2 days), metal taste in mouth, headache, thirst, pulmonary oedema, heart failure, hypotension, collapse, shock, cerebral anoxia (sleepiness, slurred speech, disorientation, delirium, loss of consciousness), and anaphylactic reaction to venom proteins (facial, tongue, As soon as the patient reaches hospital it is important to assess circulation, airway and breathing (CAB) before starting any kind of treatment, this includes appropriate management of any active bleeding and of the airway to avoid respiratory failure or aspiration (12,13).…”

Section: Snakebite Effects On the Human Bodymentioning

confidence: 99%

The management of a blood donor bitten by a snake

Marano¹,

Franchini²,

Catalano³

et al. 2017

Ann. Transl. Med.

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The worldwide burden of snakebite is high and venomous snakes are found in many regions of the world and are a threat to public health. In Italy, for instance, viper bites are an infrequent but not negligible event. Although people who have been bitten by a snake rarely wish to donate blood within a "short" time, it is however important to evaluate their eligibility to donate blood or blood components as their donation could be a problem for donor management, especially if a specific policy is not in place. The aim of this manuscript is to summarise the worldwide existing donor deferral policy for snakebites and to provide some indications in order to facilitate decision-making and to guarantee maximum safety for the donors as well as for the recipients.

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Clinical Features And Management Of Snake Bite

Cited by 53 publications

References 1 publication

Spectrum of Snake Bite in Bundelkhand Region

Spectrum of Snake Bite in Bundelkhand Region

Is anti‐snake venom required for all snakebites: A case report

The management of a blood donor bitten by a snake

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