Fasciotomy in Snake Bite Victims and Renal Outcome in a Tertiary Care Hospital

Authors

  • Sruthi Balla
  • M. Seenivasan
  • C. Anandi
  • S.A.K. Noor Mohammed
  • P. Nagrajan

DOI:

https://doi.org/10.37506/rhb9py71

Keywords:

Compartment syndrome, Fasciotomy, Renal outcome, Snake bite.

Abstract

Background: Snake bite is a neglected tropical disease. More than 50% of death due to snake bite in the world occurs in India. Acute kidney injury (AKI) is the cause of morbidity and mortality in viper bite. The compartment syndrome is a rare manifestation of snake bite. There is paucity of data on the role of fasciotomy in viper bite.
Methods: A prospective observational study was done in patients admitted to a tertiary care hospital in south
India, with snake bite-associated acute kidney injury, from March 2018 to March 2020.
Results: Sixteen % of patients underwent fasciotomy following snake bite. We compared the renal outcome of 21 patients, who had undergone fasciotomy following snake bite, with 65 patients with dialysis-requiring acute kidney injury following snake bite. The patients in the fasciotomy group had a lower peak serum creatinine (5.3 mg/dl), needed less number of dialysis sessions (3.9) and were on lesser number of days (6.1) on dialysis following snake bite, when compared with the group not needing fasciotomy.
Conclusion: In snake bite patients presenting with compartment syndrome, fasciotomy should be considered in view of favourable renal outcome.

Author Biographies

  • Sruthi Balla

    Junior Resident, Department of Nephrology, Government Mohankumaramangalam Medical College
    Hospital, Salem, India

  • M. Seenivasan

    Associate Professor, Institute of Nephrology, Madras Medical College, Chennai, India,

  • C. Anandi

    Associate Professor, Department of Medicine, Government Dharmapuri Medical College, and
    Hospital, Dharmapuri, India,

  • S.A.K. Noor Mohammed

    Associate Professor, Department of Nephrology, Madurai Medical College, Madurai, India,

  • P. Nagrajan

    Professor and HOD, Department of Nephrology, Government Mohankumaramangalam
    Medical College Hospital, Salem, India.

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Published

2024-01-18

How to Cite

Fasciotomy in Snake Bite Victims and Renal Outcome in a Tertiary Care Hospital. (2024). Indian Journal of Forensic Medicine & Toxicology, 18(1), 130-134. https://doi.org/10.37506/rhb9py71