Neurotoxic Snakebite in Jammu Region: Is it Cobra or Krait
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2019, Vol 6, Issue 11
Abstract
Background: The aim of this study is to analyze the clinical profile and outcome of the neurotoxic envenomation in children in Jammu region and to identify the species based on the syndromic approach developed by WHO. Materials and Methods: A retrospective hospital record based descriptive study which analyses the case records of children reporting to pediatric emergency with signs and symptoms of neurotoxic envenomation. Results: A total of 22 cases of the neurotoxic envenomation reported between April 15 and October 15. These included 14 males and 8 females between the age group of 2.5 years and 16 years. The highest incidence of snakebite was observed in the age group of 4–8 years. A total of seven cases presented neuroparalytic symptoms and local signs suggesting cobra bite. Bite was reported in the afternoon or evening hours between 12.30 pm and 10.30 pm and 83% bites were outdoors. A total of 15 children presented with neuroparalytic symptoms with no local signs suggesting krait bite. 86% of the bites were indoor with onset of symptoms between 12 am and 7 am. Conclusion: Both cobra and krait cause neurotoxic envenomation in children in Jammu region with krait bite accounting for 68% of the total cases. Most of these cases are brought to the pediatric emergency late. Training of the peripheral doctors regarding early recognition of neurotoxic snakebite, species diagnosis as per the WHO syndromic approach, prompt institution of initial management with neostigmine and after visit summary, endotracheal intubations and AMBU bag ventilation, and quick referral to a center with ventilator facility should help in reducing the morbidity and mortality due to krait and cobra bite in children.
Authors and Affiliations
Ashu Jamwal, Sunil Dutt Sharma, Ghanshyam Saini, Tarundeep Kour
Keywords
Related Articles
- EP ID EP483927
- DOI -
- Views 114
- Downloads 0
A Prospective Study of Seizures in Patients with Stroke
Introduction: Stroke is one of the most common causes of seizures in the elderly and seizures are among the most common neurological sequelae of stroke. Seizures can occur at the onset or may follow strokes. Aim: The aim...
Causes and Clinical Profile of Cases of Ocular Trauma Attending a Tertiary Medical Center
Purpose: Study of demographic and clinical profile of patients with ocular injury in developing countries. Study Design: This was an observational, descriptive study of cross-sectional design. Place and Duration of Study...
Histopathological Study of Gastrointestinal Tumors
Introduction and Purpose: This study was conducted to determine the relative frequency of various histopathological types of gastrointestinal (GI) tumors, to evaluate them in relation to age and sex of patients, and to g...
Comparison of the Outcome of Ventricular Septal Defect Closure using Gore-Tex and Glutaraldehyde-treated Autologous Pericardium
Aim: A comparison of glutaraldehyde-treated autologous pericardium and Gore-Tex patch for closure of ventricular septal defect (VSD). Materials and Methods: Patients undergoing repair for VSD were included in the study....
An Analytical Study on Biochemical Values in Women with First Trimester Pregnancy
Background: Routine serum biochemical and ultrasound examinations are performed in women in the first trimester of pregnancy. In addition, antenatal diagnosis is usually based on clinical risk factors, previous placenta...