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Mohite, Shailesh
- Early Detection of Snake Bite - a Case Report
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Authors
Affiliations
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
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 Venom
References
- 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.
- Current Trends of Fatal Poisoning in Metropolitan Hospital, Mumbai
Abstract Views :619 |
PDF Views:2
Authors
Affiliations
1 Forensic Medicine, Govt. Medical College, Miraj, IN
2 Medicine, T.N.M.C. & B.Y.L.Nair Hospital, Mumbai, IN
1 Forensic Medicine, Govt. Medical College, Miraj, IN
2 Medicine, T.N.M.C. & B.Y.L.Nair Hospital, Mumbai, IN
Source
Medico-Legal Update, Vol 13, No 1 (2013), Pagination: 145-148Abstract
Prospective two year study period, from 1st August, 2008 to 31st July, 2010, a total of 1,374 autopsies were performed at the centre, 70 cases were suspected cases or confirmed poisoning and those persons declared dead on arrival in the causality and suspected to be a case of poisoning. Incidence of deaths due to poisoning was 5.09 %.Peak incidence was observed in the age group of 21-30 years. Male to female ratio was 2.33:1. Insecticide was commonest poison (22 or 31.42%),followed by alcohol intoxication (16 or 22.85%). Maximum deaths were due to cerebral edema 18(30.50%) cases including insecticide and alcohol poisoning.Keywords
Poisoning, Death, Insecticide, Current Trends, AutopsyReferences
- Zine KU, Mohanty AC. Pattern of acute poisoning at Indira Gandhi Medical College and Hospital, Nagpur. J Indian Acad of Forensic Med.1998; 20:37-39.
- Aggarwal NK, Aggarwal BBL. Trends of poisoning in Delhi. J Indian Acad Forensic Med.1998;20:33-36.
- Sepha GC, Bharani., AK, Jain., SM, Raman PC. Acute aluminium phosphide poisoning. J Indian Med Assoc 1989; 83: 378-79.
- Khurram SR, Fazal MO,Bilal A, Qurashi FS, Muqqadas S. Organophosphorus compound poisoning; epidemiology and management. prof J of med 2008;15:518-23.
- Gargi J, Rai H, Chanana A, Rai G, Sharma G, Bagga IJS. Current trends of poisoning –A hospital profile. J Punjab acad forensic med toxicol. 2003;3:41-46.
- Khadgawat R, Garg P, Bansal P, Arya A, Choudhary B. Accidental poisoning .J Indian Pedit.1994;31:1555-57.
- Gupta BD, Hapani JH, Shah VN. Current trends of poisoning in Jamnagar: An experience of tertiary care teaching hospital. J Indian Acad Forensic Med.2005;28:90-92.
- Dalal JS,GoriaRK, Aggarwal KK,Thind AS, Sandhu SS. Poisoning trends- A post-mortem study. J Indian Acad Forensic Med.1998;20: 27-36.
- Harish D, Sharma BR, Chavali KH, Sharma. Poisoning mortality in Chandigarh: An overview. J Indian Acad Forensic Med.2005;28(3):110-13.
- Kiran N,Shobha Rani RH,Jaiprakash V, Vanaja K. Pattern of poisoning reported at south Indian tertiary care hospital. Indian J Forensic Med Toxicol.2008;2:17-19.
- Singh TB, Singh KR, Prasad L, Taruni NG, Singh TB. Childhood poisoning – A three years experience in RIMS, Imphal. J Forensic Med Toxicol.2009; 26:37-41.
- Gupta SK, Kumar S, Sheikh MI. Study of organophosphorus poisoning in Surat, India. J Indian Acad Forensic Med. 2006;28:83-87.
- Shetty V.B, Pawar GS, Inamdar P.I. Profile of poisoning cases in district and medical college hospitals of north Karnataka. Indian J of forensic Med Toxicol .2008;2:26-28.
- Dhattarwal SK, Singh H. Profile of deaths due to poisoning in Rohtak,Haryana. J Forensic med Toxicol.2001;18:28-29.
- Sonar V. Profile of fatal pesticide cases at government of medical college,Miraj, Maharashtra during 2001-2008.Journal of Karnataka medico-legal society.2010;19:6-10.
- Dash SK, Aluri SR, Mohanty MK, Patnaik KK, Mohanty S. Sociodemographic profile of poisoning cases. J Indian Acad Forensic med.2005;27:133-138.
- Histopathological Study of Carotid Arteries in Deaths Due to Hanging
Abstract Views :637 |
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Authors
Affiliations
1 Dept. of Forensic Medicine, RCSM, Govt. Medical College & CPR Hospital, Kolhapur, IN
2 Dept. of Forensic Medicine, IN
3 Dept. of Pathology, T.N. Medical College & B. Y. L. Nair Ch. Hospital, Mumbai, IN
1 Dept. of Forensic Medicine, RCSM, Govt. Medical College & CPR Hospital, Kolhapur, IN
2 Dept. of Forensic Medicine, IN
3 Dept. of Pathology, T.N. Medical College & B. Y. L. Nair Ch. Hospital, Mumbai, IN