CLINICAL PROFILE OF SNAKEBITE IN CHILDREN
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 29
Abstract
A retrospective study of 37 cases of snakebites admitted in the pediatrics wards, MVJ Medical College from January 2012 to December 2014 was done. A detailed history, a methodological clinical profile, established treatment and follow-up in the hospital was done for all the cases and recorded. There was definite male preponderance and all the patients were from rural background. Most of the bites occurred while playing or working away from home during evening times. Most of the patients did not receive first aid after the snakebite. This shows lack of awareness of the first aid in the management of the snakebites in rural population. Most of the patients were admitted within 2 hours of the bite. Pain and swelling were the most common clinical manifestations. Other local manifestations included cellulitis and local necrosis. The neurological manifestations that were seen are ptosis and drowsiness followed by respiratory paralysis in few cases. In present study there were no cases of hypovolemic shock, intracerebral hemorrhage or DIC. All patients with signs of envenomation were given ASV according to the grading and progression of symptoms and signs. Mild early reactions were noticed in few cases, but in none of the cases there was severe reaction. Supportive treatment like IV fluids, tetanus toxoid, antibiotic coverage and anti-inflammatory drugs were given in all patients. Fasciotomy was the most common surgical intervention required. The mean duration of hospital stay in the present study was 6 days. There was no mortality in the present study.
Authors and Affiliations
Chandrashekar C, Mohammed Abraz Shariff, Gopal K, Ravichander B
Keywords
Related Articles
- EP ID EP231468
- DOI 10.18410/jebmh/2015/593
- Views 77
- Downloads 0
AGGRESSIVE ANGIOMYXOMA AS A PEDUNCULATED GROWTH OF VULVA: A RARE CASE REPORT
Aggressive Angiomyxoma is a slow growing, uncommon myxoid neoplasm occuring chiefly in the genital, perineal and pelvic regions of adult women.(1,2) It is considered as a nonmetastasizing tumour with locally aggressive n...
OBJECTIVE STRUCTURED PRACTICAL EXAMINATION AS AN ASSESSMENT TOOL IN PHYSIOLOGY
BACKGROUND Assessment is the process by which the teacher and the student gain knowledge about student progress. The conventional practical examination is beset with several problems. The Objective Structured Practical E...
CARRYING ANGLE: A MORPHOMETRIC STUDY IN SOUTH INDIAN POPULATION
Apes and humans are distinguished from other primate species in possessing carrying angle at the elbow. When the upper extremity is in the anatomic position, the long axis of the humerus and the long axis of the ulna for...
A STUDY TO FIND OUT PREVALENCE OF HYPERTENSION IN SCHOOL GOING CHILDREN OF AGE GROUP 5 TO 16 YEARS IN WESTERN RAJASTHAN
BACKGROUND Hypertension is very common disease, commonly associated with high morbidity and mortality. Its origin is thought to be in childhood and goes undetected unless specifically looked for during this period. Early...
INCIDENCE OF NON-ALCOHOLIC HEPATIC FATTY INFILTRATION IN WOMEN WITH POLYCYSTIC OVARY SYNDROME
To evaluate the prevalence of non-alcoholic fatty infiltration in women with PCOS. MATERIALS AND METHODS: A prospective study in which 162 women with Polycystic ovarian syndrome (PCOS) and 165 healthy controls who were a...