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Essay On Snake Envenomation

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ORIGINAL ARTICLE

A retrospective study of snake bite envenomation in a tertiary care teaching hospital of sourthern india Dr.Arul Murugan c ,MD 1 *,Dr.Sarfaraz Ahamed MD1 ,Dr.Mohammad Gani, MD1
1 Department Of Medicine, SRM Medical College And Hospital, Kattankulathur,Kancheepuram, Chennai

*Corresponding Author DR.C. ARUL MURUGAN , MD Assistant professor Department of general medicine, SRM medical college and hospital, SRM Nagar,Potheri,Kattankulathur-603203, Kancheepuram, Tamil Nadu 603203 Phone: 044-47432366
Email : drarulc@gmail.com arul2k@yahoo.com

ABSTRACT
BACKGROUND : Snake bite is an important occupational and rural hazard because India has …show more content…

Majority of the patients had Moderate to Severe envenomation (91.45%) .Most of the cases occurred during the month of July to December (50.46%). Most of the bites were during the night time and on the lower limbs (80.24%) . Based on the symptoms, signs, and laboratory parameters, We attempted to identify the species of the snake and found viper as the most common species identified in 51.22 % of the cases [Table 1]. Hemotoxic (Defined as whole blood clotting time >20 mins ,Prolongation of PT, INR, and APTT, Reversal of envenomation considered with normalization of PT, INR, and APTT) Envenomation observed in 58 (70.73%) cases and neurotoxic nature of envenomation were observed in 20 (24.39%) cases and whreas 4 (4.87%) cases had both hemotoxic and neurotoxic …show more content…

Of the 66 Cases of Moderate envenomation, ASV administerd within 4.86(±4.4) hours of bite and average no of ASV vials administered was 12.68(±5.09) and cases discharged within 4.91(±4.33) days of hospital stay with no mortality.In 9 severe cases of envenomation average time of ASV administered in 12.33(±6.32) hours of bite and average no ASV vials given was 20.78(±4.18).out of 9 cases 4 (44.44%) patients died despite of intensive

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