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Snake
Bite (A Clinical Observations)
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Disease Pattern in India
BAWASKAR H.S. & BAWASKAR P.H.
 Of 67 patients with snake bite, 25% showed no evidence of
envenoming, 38% had local swelling only, but 47% had systemic envenoming
manifested by spontaneous systemic bleeding (17%), severe neurotoxic
enevenoming (28%) and cardiotoxic (2%). Out of these six victims
(8.6%)died. Bite marks with local swelling, bleeding in skin, blebs are
characteristics of viper bite .No local signs except pinched
petechiae situated deepto skin observed in Krait (neurotoxic) bite.
Neuroparalytic victims treated with antisnake venom (asv) and ant
cholinesterase. While viper bitten victims recovered by asv and
antibiotic.
Introduction
 Snake bite is a serious problem in India. It is a preventable public
health hazard in tropical and subtropical countries, high incidence of
snake bite in this region is because of heavy rain fall and high humid
climate. High morbidity and mortality because of traditional herbal and
mantrik's remedies remains more popular than western style of treatment.
Most victims admitted in our hospital had already taken the above nature
remedies. 15000 - 20000 people die each year due to snake bites in
India. Out of which maximum are from Maharashtra state. Common poisonous
snakes found in Konkan region are krait cobra, saw scaled viper, russel viper, and
echis carinatus1.
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Related Issues
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67 (43 male; 24 female) snake bite victims between 20 and 80 years were
admitted to our hospital. They were divided into the following groups
according to their major clinical features.(Table)
