SNAKE BITE: CASE SERIES OF PATIENTS PRESENTED TO GONDAR UNIVERSITY HOSPITAL, NORTH WEST ETHIOPIA.

  • Desalew Mekonnen Department of Internal Medicine College of Health Sciences Addis Ababa University
  • Tadesse Mitiku Department of Internal Medicine College of Medicine and Health Sciences University of Gondar
  • Yenesew Tamir Department of Internal Medicine College of Medicine and Health Sciences University of Gondar
  • Aklilu Azazh Department of Emergency Medicine College of Health Sciences Addis Ababa University

Abstract

 

Snakebite is an important public health challenge. Venomous snake bites cause significant morbidity and mortality if treatment measures, especially antivenom therapy, are delayed. We did a case series of 27 adult patients admitted after snakebite to the medical wards of Gondar University Hospital (GUH) from September 2013 to August 2014. The age range was from 15 to 74 years. The male to female ratio was 8:1. The majority (25) of patients presented after 12 hours of being bitten. Most of the bites occurred on the legs. Hematologic complications, including prolonged bedside whole blood clotting test, bleeding complications and Disseminated Intravascular Coagulation, were the common complications detected. The case fatality rate was 4/27 (14.8%). Availability of affordable snake specific antivenom is recommended. A large population study is needed to address the burden  in Ethiopia.

Keywords: snake bite, ante venom, Gondar University Hospital

 

Author Biography

Desalew Mekonnen, Department of Internal Medicine College of Health Sciences Addis Ababa University

Associte Professor Of Medicine

Consultant Internist

Cardiology Fellow

References

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Published
2016-03-23
Section
Case Series