A Clinical Profile of Neurotoxic Snakebite in Pediatric Population of Jammu Region.
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Date
2016-04
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Abstract
Snake bite is a common neglected emergency in children. Due to lack of adequate epidemiological data its
incidence is underestimated. This study analyses the clinical profile of neurotoxic snake bites in children.
Retrospective analysis of 37 children with features of neurotoxicity with or without history of snake bite
was done. 37 cases of neurotoxic envenomation had a median age of 8 years. 30 were males. Majority of
bites occurred during night hours and in upper limbs. Among the 17 who were bitten during night 12 were
sleeping on floor. The most common systemic presentation was ptosis (94.59%) followed by difficulty in
breathing (78.37%), pain abdomen (64.86%) blurring of vision and diplopia (54.04%), decreasing level of
consciousness (45.94%) and vomiting (29.72%). 13 patients (35.13%) with clinical features of neurotoxic
envenoming but without any history of snake bite were brought with history of early morning sudden onset
of abdominal pain. All patients were given Anti Snake Venom (ASV) with medial dose of 600 units.
Twenty patients received ventilator support. Ten (27%) patients died all of whom received ASV after a
delay of at least 5 hours.
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Keywords
Neurotoxic Envenomation, Snake Bite, Anti Snake Venom
Citation
Sanjeev Digra, Virender Singh. A Clinical Profile of Neurotoxic Snakebite in Pediatric Population of Jammu Region. JK Science Journal of Medical Education and Research. 2016 Apr-Jun;18(2): 67-70.