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Hematotoxicity in Patients with Snake Bite

Author(s)
Afsheen Ishfaq Department of Medicine District Headquarters Hospital and Rawalpindi Medical College.Pakistan
Faran Maqbool Department of Medicine District Headquarters Hospital and Rawalpindi Medical College, Pakistan
Saima Humayun Toor Department of Medicine District Headquarters Hospital and Rawalpindi Medical College, Pakistan
Syed Irfan Ahmed Department of Medicine Benazir Bhutto Hospital Rawalpindi and Rawalpindi Medical College, Pakistan
Abstract
hours). While there are many factors influencing the outcome in victims of snake-bite, there is significantly Background: To determine the frequency of higher mortality among victims who have delayed haematoxicity in patients with snake bite. presentation and develop neurotoxicity.9Not all bites Methods: In this descriptive study patients (n=84) by poisonous snakes are venomous.11 Most snake bites with history of snake bite were included. After occur during the monsoon season because of flooding detailed history, patients were assessed for of the habitat of snakes. Incidence also varies with spontaneous bleeding along with evaluation of farming activity in relation to rainfall, as it increases laboratory parameters for hematotoxicity. the chances of exposure to snake, and to the yearly Results: Majority (71.4%) were males. Age group reproductive cycle of the snake. Epidemics of snake maximally affected by snake bite was 21-30 years bite have occurred in Pakistan, India and Colombia (38.1%). Hematotoxicity was seen in 69% patients, due to severe flooding.11,12 Male predominance, higher while neurotoxicity was seen in 3.3% . Deranged PT incidence in field areas, involvement of lower and APTT were the most frequent abnormality(81%), extremities are common features in many studies.13-16 followed by hematuria (27.6%) and Most snake bites occur on the feet and ankles of thrombocytopenia (20.7%). Spontaneous bleeding agricultural workers, snake handlers and hunters. For from mucocutaneous sites, hematemesis and these people, envenomation is an occupational hazard. bleeding from venepuncture site were seen in 8.6%, Snakes do not generally attack human beings 8.6% and 5.2% of hematotoxic snake bites unprovoked. Bites mostly happen when the snake is respectively. trodden on in darkness or unintentionally picked up Conclusion: Snakebite is a major public health along with foliage. Intentional handling or trying to problem. Hematotoxic snake bites are potentially play with snake also results in bite. At night snake dangerous, and are the most common type of snake may enter the house in search of prey (mice, lizards bites in our setup.  
Publication Details
Page(s) 20-22
DOI DOI not available
Published Journal: Journal of Rawalpindi Medical College, Volume: 18, Issue: 1, Year: 2014

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Keywords
Snakebite, Haematoxicity
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