Abstract:
OBJECTIVE:To describe the epidemiology of snake bite in the region and attempt to compare proven Russell's viper with hump-nosed viper bites. METHODS:All snake bite admissions to the Toxicology Unit of Teaching Hospital Peradeniya over three year from 2006 were included. RESULTS:Of the 776 snakebites, 665(86%) were unidentified and non-envenomed. Hump-nosed viper and Russell's viper accounted for 55(7%) and 40(5%) bites respectively, of them, incriminated snakes were found in 36(65%) and 19(48%) cases. The cobra bites-5, krait bites-0. The median ages: Russell's viper bites-41(range 16-66), hump-nosed viper bites-42(range 15-75). The gender incidence, time of bite (>58% daytime) were similar. In hump-nosed viper bite; upper limb involved in 13(36%), happened at home garden in 22(61%), none in paddy fields. In Russell's viper bite; 6(33%) occurred in paddy fields. Dry bites were similar at 5%. In hump-nosed viper bite: local effects 94%, coagulopathy 3%, acute renal failure 3% and one patient died. In Russell's viper bite; local effects 84%, coagulopathy 53%, neurotoxicity 21%. Abdominal pain occurred only in Russell's viper bites 10(53%). CONCLUSIONS:Overwhelming numbers of unidentified, non-envenomed snakebites are common in the central hills. Some distinctive differences were observed between Russell's viper and hump-nosed viper bites.
journal_name
Asian Pac J Trop Medjournal_title
Asian Pacific journal of tropical medicineauthors
Kularatne K,Budagoda S,Maduwage K,Naser K,Kumarasiri R,Kularatne Sdoi
10.1016/S1995-7645(11)60147-8subject
Has Abstractpub_date
2011-07-01 00:00:00pages
564-7issue
7eissn
1995-7645issn
2352-4146pii
S1995-7645(11)60147-8journal_volume
4pub_type
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