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307169

A CASE OF NEGLECTED SNAKEBITE COMPLICATED BY NECROTIZING FASCIITIS AND LOWER LIMB AMPUTATION

Article

Last updated: 23 Dec 2024

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Tags

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Abstract

Background: Snakebite is considered an underreported health issue in the rural areas of the 3rd world countries that was recently recognized by the world health organization as a neglected tropical disease. Case Presentation: In the following case study, we are discussing a case of a female patient who was bitten by an unidentified snake where she sought non-specialized medical advice who prescribed non-specific management. Moreover, a traditional local snakebite therapist performed multiple local incisions. The condition was complicated by the development of necrotizing fasciitis in her right foot that ascended to the level of the thigh. Surgical consultation was done where the patient received Rocephin 2g\24H and Tavanic 500mg/24h in addition to surgical debridement of the necrotic tissue. However, below-hip limb amputation was performed as a salvage procedure for the patient life. Conclusion: the early administration of antivenom could prevent the development of complications by neutralizing the effect of the venom. This could be achieved through providing training to primary health care physicians working in rural and remote areas on the proper management of snakebites. In addition, it is essential to ensure a sufficient supply and proper storage of the antivenom in those areas.

DOI

10.21608/ejfsat.2023.167855.1278

Keywords

Snakebite, necrotizing fasciitis, Viperidae family, Naja haje

Authors

First Name

Osama

Last Name

Elserafy

MiddleName

Said Ibrahim Said

Affiliation

Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Cairo University. Department of Criminal Justice and Forensics, King Fahad Security College.

Email

elserafy@cu.edu.eg

City

-

Orcid

0000-0002-4121-1563

First Name

Nada

Last Name

abdel-raof

MiddleName

Elsayed

Affiliation

Department of forensic medicine and clinical toxicology Cairo university

Email

naada.selim@gmail.com

City

cairo

Orcid

0000-0001-7762-7264

Volume

23

Article Issue

2

Related Issue

41367

Issue Date

2023-06-01

Receive Date

2022-10-13

Publish Date

2023-06-01

Page Start

77

Page End

82

Print ISSN

1687-0875

Online ISSN

2535-1915

Link

https://ejfsat.journals.ekb.eg/article_307169.html

Detail API

https://ejfsat.journals.ekb.eg/service?article_code=307169

Order

8

Type

Case Reports

Type Code

448

Publication Type

Journal

Publication Title

The Egyptian Journal of Forensic Sciences and Applied Toxicology

Publication Link

https://ejfsat.journals.ekb.eg/

MainTitle

A CASE OF NEGLECTED SNAKEBITE COMPLICATED BY NECROTIZING FASCIITIS AND LOWER LIMB AMPUTATION

Details

Type

Article

Created At

23 Dec 2024