AN AUTOPSY BASED 05 YEAR RETROSPECTIVE STUDY OF DEATHS DUE TO SNAKEBITE IN CENTRAL INDIA REGION MADHYA PRADESH
Keywords:
Snake envenomation, Hemorrhagic reactions, CyanosisAbstract
This is a 05 years retrospective autopsy bases study of cases of fatal snake envenomation presenting to the mortuary of Mahatma Gandhi Memorial Medical College & M.Y. Hospital, Indore, from January 2016 to December 2020. The purpose of this study is to present the epidemiological pattern of snake poisoning in this region, as also to describe the clinical characteristic features. In our study, 58 cases (41 males & 17 females) of death due to snakebite were brought for medico legal post mortem examination to this department. Of these, maximum number of cases year wise, i.e. 17 cases; brought in the year of 2019. Age wise categorization shows equal no. of cases, i.e. 12 cases; in age groups 11-20, 21-30 & 31-40 years, followed by 11 cases in the age group of 41-50 years. The months of the rainy season, i.e. July & August, accounted for the maximum no. of cases i.e. 23. 70.68% of cases received hospitalization after getting bit by the snake. The area involved most commonly for the bite was the right upper limb (32.76%) followed by left lower limb (29.32%). In 89.66% of cases, only single site of bite was seen
References
1. Dikshit P.C. Iirritant poisons. Textbook of forensic medicine and toxicology. 2nd ed. New Delhi: PEEPEE Publishers and Distributors (P) Ltd. 2014:509-513
2. Naik CRS, Yogesh C, Raghava SV. Fatal snake envenomation: A retrospective study. J Ind Society Tox. 2014;10(2):15-8.
3. Vij K. Irritants of animal Origin.In:Textbook of forensic medicine and toxicology- principles & practice. 6thed. New Delhi: Reed Elsevier India (P) Ltd; 2015:450-4. 4. Cruz SL, Vargas R, Lopes AA. Snakebite
envenomation and death in the developing world. Ethn Dis. 2009;19:S1-42-6.
5. Sreekrishnan TP, Ajith V, Sabareesh B, Prasad B, Kumar JA, Mohan N, et al. Snakebite envenomation Clinical profile, Anti snake venom therapy and complications. J Ind Society Tox. 2014;10(2):8-14.
6. Kumar MR, Babu PR, Kumar SS, Subrahmanyam BV, Rammohan P, Srinivas M, et al. A retrospective review of snake bite victims admitted in a tertiary level teaching institute. Ann Afr Med. 2014;13(2):76-80.
7. Warrell DA. Snake bite. Lacent. 2010;375:77-88. 8. Chippaux JP. Snake-bites: appraisal of the global situation. Bull World Health Organ. 1998;76(5):515-24. 9. Gutiérrez JM, Theakston RD, Warrell DA. Confronting the neglected problem of snake bite envenoming: the need for a global partnership. PLoS Med. 2006 Jun;3(6):e150.
10. Brunda G & Sashidhar RB. Epidemiological profile of snake-bite cases from Andhra Pradesh using immunoanalytical approach. The Indian Journal of Medical Research. June, 2007; 125: 661-8.
11. Sahu BK, Singh A, Ajay Kumar A, Barwa J, Harish D. A Five year Retrospective study of Fatal Snakebite in Candigargh Region. J Indian Acad Forensic Med. April - June 2016;38(2):205-8.
12. Mohapatra B, Warrell D, Suraweera W, Bhatia P, Dhingra N, Jotkar RM, et al. Snakebite Mortality in India: A Nationally Representative Mortality Survey. PLoS Neglected Tropical Diseases. April, 2011; 5(4):1-8.
13. Chaurasia A, Singh K, Tiwari A, Indurkar M. Clinical Study of Snake Bite at a Tertiary Care Centre in Rewa. J. Evid. Based Med. Health, July 2020; 7(27): 1270-6.
14. Rahman R,Faiz MA, Selim S, Rahman B, Basher A, Jones, d’ Este C, Hossain M et al. Annual Incidence of Snake Bite in Rural Bangladesh. PLoS Neglected Tropical Diseases · October, 2010; 4(10):1-6.
15. Kumar S, Kumar N, Kumar R, Shubhendu K, Mahto T,Kumari N et al. Management of snake bite cases in RIMS Ranchi, Jharkhand, India. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS), October. 2020;19(10):13-20
16. Vinchu SS & Ezhilarasan VK. An epidemiological study of clinical outcome of snakebite in children. International Journal of Medical Pediatrics and Oncology, January-March, 2017;3(1):13-7.
17. Spyres MB, Ruha AM, Seifert S, Onisko N, Jones AP, Smith EA. Occupational Snake Bites: a Prospective Case Series of Patients Reported to the ToxIC North American Snakebite Registry. Journal of medical toxicology: official journal of the American College of Medical Toxicology. May 2016;12: 365-9.
