A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Sabale, Pawan
- Early Detection of Snake Bite - a Case Report
Authors
1 Dept. of Forensic Medicine, TNMC & BYL Nair Ch.Hospital, Mumbai-400 008 Maharashtra State, IN
2 Dept. of Forensic Medicine, T.N. Medical College & B. Y. L. Nair, Ch. Hospital, Mumbai, IN
Source
Medico-Legal Update, Vol 13, No 1 (2013), Pagination: 85-88Abstract
Snakebites can be deadly if not treated immediately. Snake envenomations are frequently encountered in medical emergencies. Some snake venoms contain hemotoxins that can result in widespread bleeding, disseminated intravascular coagulation (DIC) and a rapid death. This can be prevented by giving polyvalent antisnake venom within hours.
A three & half years old male child was admitted to Pediatrics I.C.U. of T.N.M.C.&B.Y.L. Nair Ch. Hospital, Mumbai with history of unknown bite. Initially Pediatricians were confused to diagnose the bite and called forensic experts for evaluation. On detailed examination and investigations by Forensic Medicine personnel and Pediatricians it was observed that the child was having two puncture wounds, 1cm apart from each other along with swelling of left foot and leg, multiple ecchymotic patches over the body and laboratory parameters revealed state of disseminated intravascular coagulation. On these findings, we diagnosed a case of vasculotoxic snake bite which help the Pediatrician for starting polyvalent antisnake venom therapy that proved to be beneficial in prevention of development of compartment syndrome and advancement of DIC. Here we report a case of snakebite who presented with vasculotoxic manifestation, showed full recovery after effective treatment.
Keywords
Snake Bite, Coagulation Profile, Polyvalent Antisnake VenomReferences
- Kularatne SA. Common krait (Bungarus caeruleus) bite in Anuradhapura, Sri Lanka: a prospective clinical study, 1996-98. J Postgrad Med 2002; 78:276-280.
- Gold, Barry S.; Richard C. Dart, Robert A. Barish. “Bites of venomous snakes”, The New England Journal of Medicine. 2002; 347(5):347–56.
- Warell DA. Animal toxin. In: Cook G (ed). Manson’s Textbook of Tropical Disease, 20th ed. London; ELBS, WB Saunders, 1996; pp 483.
- Chugh KS. Snakebite induced acute renal failure in India. Kidney International 1989; 35: 891-907.
- Warrel DA, Arnett C. The importance of bites by the saw scaled or carpet viper (Echis carinatus). Epidemiological studies in Nigeria and a review of the world literature. Acta Tropica 1976; 33: 307-341.
- World Health Organization (2007) Rabies and envenomings. A neglected public health issue: Report of a consultative meeting. Geneva: WHO; Available: http://www.who.int/bloodproducts/ animal_ sera/Rabies.pdf.
- Rosen PB, Leiva JI, Ross CP. Delayed antivenom treatment for a patient after envenomation by Crotalus atrox. Ann Emerg Med 2000; 35:86-88.
- Bebarta V, Dart RC. Effectiveness of delayed use of crotalidae polyvalent immune Fab (ovine) antivenom. J Toxicol Clin Toxicol. 2004; 42(3): 321-34.
- Gold BS, Barish RA, Dart RC, Silverman RP, Bochicchio GV. Resolution of compartment syndrome after rattlesnake envenomation utilizing non-invasive measures. J Emerg Med 2003; 24(3):285.
- Novus Actus Interveniens - A Case Report
Authors
1 Dept. of Forensic Medicine, T.N. Medical College & B. Y. L. Nair Ch. Hospital, Mumbai, IN
2 Dept. of Forensic Medicine, T.N. Medical College & B. Y. L. Nair Ch. Hospital, Mumbai, IS
3 Dept. of Pathology, T.N. Medical College & B. Y. L. Nair Ch. Hospital, Mumbai, IN
Source
Indian Journal of Forensic Medicine & Toxicology, Vol 7, No 1 (2013), Pagination: 231-233Abstract
A new unexpected happening which cannot be reasonably a foreseeable complication, may break the continuity of events. Novus actus interveniens occurs with such happening when the legal proceeding in the case will stand modified. The assailant is not held responsible for the death of the victim if death could be attributed to new and unrelated act. Here one case of novus actus interveniens is discussed, where thirty year old person was stabbed with Koyta over abdomen by his friend but he died of dengue after 15 days of admission. In the present case assailant was initially charged under attempt of murder (Section 307 IPC) and after death of victim he was charged under murder (Section 302 IPC). The medical evidence was deposed in the court of law and charge of murder was reverted back to attempt of murder.Keywords
Novus Actus InterveniensReferences
- Reddy KSN. The Essential of Forensic Medicine and Toxicology. 28th ed. Hydrabad. 2011. p 33-34
- Karmakar RN editor. JB Mukherjee’s Forensic Medicine and Toxicology. 3rd ed. Kolkata academic publishers 2007. p 72
- Parikh CK. Parikh’s textbook of Medical Jurisprudence, Forensic Medicine and Toxicology. 5th ed. CBS Publisher’s and Distributors. New Delhi 2000.p 1.52
- Umadethan B. Forensic Medicine. 1st ed. CBS Publisher’s and Distributors. New Delhi 2011. p 24.
- Park K. Park textbook of Preventive and Social Medicine. 21st ed. Jabalpur Banarsidas Bhanot publisher 2011.p 224-231
- Bhullar DS. Attempt to murder (section 307 IPC) and medical evidence a case report. JIAFM 2004;