Abstract
Objective: To study the respondent’s clinical profile of snake envenomation in a tertiary referral of Pondicherry in India.
Material and Methods: Retrospective case note treatment analysis of all cases (75 cases) of snakebite admitted to the medical emergency from January 2013 to July 2016.
Results: It is clear from the findings ,it is concluded, that even in the absence history of snake bite, cases presenting with sudden onset of neurological symptoms, such as, weakness in limbs, respiratory paralysis and drooping of eyelids, a possibility of snake envenomation should be considered. Timely, administration of intravenous polyvalent ASV, along with Ventillatory support proves to be life saving in all such cases
References
1. Akram S, Khurshid T. Successful revival of neurotoxic snake bite by artificial ventilation and cholinesterases. JCPSP 2000; 10: 267-9.
2. Bawaskar HS, Bawaskar PH, Punde DP, Inamdar MK, Dongare RB, Bhoite RR. Profile of Snakebite Envenoming in Rural Maharashtra, India. J Assoc. Phys. Ind 2008; 56:88-95.
3. Britt A, Burkhart K. Naja naja Cobra bite. Am J Emerg Med 1997; 15(5): 529-33.
4. CHUGH K. S., (1989), Snake-bite-induced acute renal failure in India, Nephrology Forum: Snake-bite-induced ARF, Kidney International, Vol35 (1989), pp. 891—907.
5. Flachsenberger W, Mirtschin P. Anticho-linesterases as antidote to envenomation of rats by the death adder (Acanthopis antarcticus). Toxicon 1994; 32(1):38-9.
6. Government of India, Central Bureau of Health Intelligence. Health Status Indicators, National Health Profile 2007 and 2008 (Provisional): 3.1.2.9 State/UT wise Cases and Deaths Due to Snake Bite in India.107-108.
7. Hati AK, Mandal M, De MK, Mukherjee H, Hati RN (1992) Epidemiology of snake bite in the district of Burdwan, West Bengal. J Indian Med Assoc 90: 145-147.
8. Kao-Ping Chang, Chung-Sheng Lai, and Sin-Daw Lin.,(2007) Management of Poisonous Snake Bites in Southern Taiwan., The Kaohsiung Journal of Medical Sciences, Volume 23, Issue 10, October 2007, Pages 511-518
9. Kasturiratne A, Wickremasinghe AR, de Silva N, Gunawardena NK, Pathmeswaran A, et al. (2008) The global burden of snakebite: a literature analysis and mod-elling based on regional estimates of enve-noming and deaths. PLoS Med 5: e218.
10. Kohli U, Sreedhar VK. Snake bite: An Unusual Cause of Acute Abdominal Pain. Indian Pediatrics 2007; 44:852-853.
11. Patil TB, Bansod YV. (2012), Snake- bite- induced acute renal failure: A study of clinical profile and predictiors of poor outcomes. Ann Trop Med Public Health 2012. Pp 5.335-9
12. Seneviratne U, Dissanayake S. Neurolo-gical manifestations of snake bite in Sri Lanka. J Postgrad Med 2002; 48:275-278.
13. Warrel, David A. (2010), Guidelines for the management of snake-bites, World Health Organization 2010.
14. Warrell DA (2010) Epidemiology of snake-bite in South-East Asia Region. In: Warrell DA (ed.) Guidelines for the management of snakebite. New Delhi: WHO regional office for Southeast Asia.
DOI: https://dx.doi.org/10.18535/jmscr/v5i5.85
