Arid
DOI10.1580/06-WEME-OR-078R.1
Rediscovery of severe saw-scaled viper (Echis sochureki) envenoming in the thar desert region of Rajasthan, India
Kochar, D. K.; Tanwar, P. D.; Norris, Robert L.; Sabir, M.; Nayak, K. C.; Agrawal, T. D.; Purohit, V. P.; Kochar, A.; Simpson, Ian D.
通讯作者Simpson, Ian D.
来源期刊WILDERNESS & ENVIRONMENTAL MEDICINE
ISSN1080-6032
EISSN1545-1534
出版年2007
卷号18期号:2页码:75-85
英文摘要

Objectives.-In India, venomous snakebite remains an enigma. Although ineffective first aid treatments that are centuries old continue to be used by people bitten by snakes, important factual information. such as the importance and uniqueness of bites by the northern saw-scaled viper (Echis sochureki), has been largely lost and forgotten. In this paper, we report the first systematically gathered data on the clinical course of envenoming by E sochureki in Rajasthan, India. Clinical information is reported on 12 victims bitten by definitively identified E sochureki, and 2 clinical cases are described in greater detail to illustrate the severity of envenoming by this snake.


Methods.-A data collection form was developed and used to prospectively gather clinical information regarding patients who were bitten by E sochureki and who brought the dead snake with them to hospital. All snakes were definitively identified by an experienced herpetologist. Information on symptoms and signs, management (both first aid and hospital), and outcomes was collected.


Results.-All 12 victims had evidence of systemic envenoming, including abnormal 20-minute whole blood clotting tests (with systemic bleeding in 7). All received polyvalent antivenom made, in part. with Echis carinatus venom from southern India. Antivenom was relatively ineffective in restoring coagulation to these patients. All patients survived, although I patient suffered an intracranial bleed with residual hemiparesis.


Conclusions.-Echis sochureki causes severe bites in Rajasthan. Work needs to be done to alter the first aid practices used for snakebites in this area, to encourage more rapid presentation to hospital, and to develop antivenom that is more effective against E sochureki.


英文关键词snake snakebite India Echis sochureki saw-scaled viper antivenom
类型Article
语种英语
国家USA
收录类别SCI-E
WOS记录号WOS:000247641100001
WOS关键词CARINATUS ; SNAKES
WOS类目Public, Environmental & Occupational Health ; Sport Sciences
WOS研究方向Public, Environmental & Occupational Health ; Sport Sciences
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/156192
作者单位(1)Stanford Univ, Med Ctr, Palo Alto, CA 94304 USA
推荐引用方式
GB/T 7714
Kochar, D. K.,Tanwar, P. D.,Norris, Robert L.,et al. Rediscovery of severe saw-scaled viper (Echis sochureki) envenoming in the thar desert region of Rajasthan, India[J],2007,18(2):75-85.
APA Kochar, D. K..,Tanwar, P. D..,Norris, Robert L..,Sabir, M..,Nayak, K. C..,...&Simpson, Ian D..(2007).Rediscovery of severe saw-scaled viper (Echis sochureki) envenoming in the thar desert region of Rajasthan, India.WILDERNESS & ENVIRONMENTAL MEDICINE,18(2),75-85.
MLA Kochar, D. K.,et al."Rediscovery of severe saw-scaled viper (Echis sochureki) envenoming in the thar desert region of Rajasthan, India".WILDERNESS & ENVIRONMENTAL MEDICINE 18.2(2007):75-85.
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