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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 10, Issue 2, March 2014 pp 386-388

Research Article

Study of Variations in Investigative Domains among Poisonous Snake Bite Cases

 

Yogeesha K. S.1, Raghavendra A. Y.2, Vishak S.3, Raghavendra Bakki Sannegowda4

{1Assistant professor, Department of Medicine} {3Assistant Professor, Department of ENT} {4Assistant Professor, Department of Neurology} Father Muller Medical College and Hospital, Father Muller Road, Kankanady, Mangalore, Karnataka, INDIA.

2Assistant professor, Department of Anatomy, K. S. Hegde Medical Academy, Nitte University, Mangalore, Karnataka, INDIA.

 

Academic Editor : Dr. Aher K. R.

Abstract


In India one of the major causes of death is due to poisonous snake bite. There are more than 3500 species of snakes, about 500 belongs to the four families of venomous snakes and only 200 species have caused morbidity and mortality in humans. Commonly encountered poisonous snakes in India are Cobras, Kraits and Vipers. This study is undertaken to document the variations in the parameters of investigation in cases following poisonous snake bite which determine the course of various cardiac and pulmonary complications, following poisonous snake bite irrespective of snake species. Methodology: In this prospective study 100 cases of snake bite, with local and systemic manifestation were subjected to clinical evaluation. Cases were collected for a period of one year by simple random sampling. Observations and Results: Commonest ECG abnormality detected was sinus tachycardia (31%).  Five percent had sinus bradycardia, ST segment depression was noticed in 5%.  ‘T’ wave inversions were seen in 2%.  Tall ‘T’ waves were seen in 2%.36 per cent of patients had haemoglobin less than 10 G%, 64% of patients had Hb>10 G%. In 20 patients both serum creatinine and blood urea increased in combination. Fifty-one percent of patients had normal level of both the enzymes CK-MB and SGOT.