Abu Bakar, Nazmul Ahasan, Manwar Ahsan.
Snake bite in Bangladesh.
Pak Armed Forces Med J Jan ;56(1):68-72.

Background: Snake bite is a real emergency and an important cause of morbidity and mortality. The objective of the study was to observe different aspects of snake bite including proportion of poisonous snake bites, clinical features of poisoning and outcome of treatment with polyvalent antivenom serum. Patients and Methods: 188 cases of snakebite were prospectively studied from June 2001 to Dec. 2002. Among them 132 were males and 56 were females. Age of the patients ranged from 10-70 yrs. Tourniquet was applied in all the cases of snake bite. Results: Peak incidence 74(39.36%) was in the age group 10-20 yrs. 108(57.44%) cases were venomous and 80(42.55%) were non-venomous. 158(89.04%) case of snake bite occurred out side the house and the common site of bite was lower extremities in 124 (65.95%) cases. Common feature of poisoning was drooping of the upper eyelid in 108 (100%) cases followed by external ophthalmoplegia in 82(75.92%) cases. Out of 108 venomous snake bite cases 101(93.52%) recovered completely and 7(6.66%) died after admission. 60(55.5%) cases recovered with only 20-30 ml (2-3 vials) of polyvalent antivenom serum. Conclusion: Snake bite cases were reported mostly in months of June and July. Young people were mostly affected with clinical presentation of drooping of eyelid and external ophthalmoplegia.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com