Eurasian Journal of Toxicology

Yazarlar: Özlem BİLİR, Alpaslan ÜNLÜ, Gökhan ERSUNAN, Teslime AYAZ

Konular:Acil Tıp

Anahtar Kelimeler:Snake bite,Eastern black sea region,Emergency service visit

Özet: Aim;The aim of this study is to review snake bites, which are rarely encountered and thus regionally neglected in Eastern Black Sea Region but which cause potentially serious clinical pictures, in order to provide a better patient management. Material and Method:In this study, 27 cases who referred to tertiary emergency service due to snake bite were analysed retrospectively. Results: Of the 27 cases, 70.4%(n=19) were female and average age was found as 46.77±16.11. Referrals were in the month of July when tea and hazelnut farming was frequently done regionally. However, two patients developed syncope and hypotension after admission. The most common complaints of referral were pain (96.3%,n=26), ecchymosis and swelling (88.9%,n=24) due to bite in the lower extremity dorsum of the foot (96.3%,n=26). While 18.5% were referred to our hospital after they were applied antivenom therapy in another health institution, antivenom therapy was applied to 2 patients(7.4%) due to their clinical picture at admission. 29.6% of the patients who referred to the emergency service were followed and treated by being hospitalized. None of the patients admitted with snake bite died. Elevated INR was the most common serious complication with 11.1%(n=3). Conclusion: Snake bite is a rare situation in Eastern Black Sea region. In cases in the region which is the natural habitat of Vipera kaznakovi, depending on the feature of the venom, hematotoxic complications can occur, local lesions caused by other Viperia species being at the forefront. Appropriate follow-up and treatment should be based on the existing clinical picture.

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