Clinical Profile and outcome of Snake bite in patients attending a tertiary care hospital in Bankura, West Bengal
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
Background: Snakebite is a serious medical emergency in Western districts of West Bengal where farming is a major source of employment. The purpose of the study was to determine the clinical profile, complications and outcome of snake bite cases in the tertiary care hospital of Bankura. Material and method: A prospective study was conducted from July 2011 to July 2012on 52 venomous snakebite patients admitted in the Department of General Medicine, BankuraSammilani Medical College,West Bengal. Data on demographic profile, clinical features, laboratory investigations, details of treatment received and outcome of the snakebite victims were recorded and analyzed. Results: Majority of snakebite victims were male(55.77%), farmer (42.31%) by occupation, belonging to rural area (82.69%), bitten outdoor (71.15%), during day time (51.92%) and in the month of July-September. Most of the bitten victims were frightened (82.69%) at time of admission. The signs and symptoms of Viper envenomation (hemotoxic) were pain and tenderness at site of bite, oliguria, hematuria, sub conjunctival hemorrhage, and hypotension. Neurotoxic manifestations were mainly Ptosisfollowed by altered sensorium extensor planter response. Out of 52 cases, 6 had expired [4 cases due to renal failure and 2 cases due to respiratory failure]. Conclusions: Snakebite is a common problem, where delay in early treatment is associated with poor prognosis and venomous snakebites may lead to consumptive coagulopathy, renal failure and respiratory failure, ultimately leading to death.
Authors and Affiliations
Dr. Amitabha Pal, Dr. Saswati Mukherjee
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