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

Document Type : Case Reports

Authors

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

2 Department of forensic medicine and clinical toxicology Cairo university

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.

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