Nonvenomous Snakebite in Pediatric Age Group—Wolf under a Sheep's Coat

Nonvenomous snakebite, far outnumbering venomous bites, is a neglected occupational hazard in the Indian subcontinent. We encountered four cases of traditionally nonvenomous snakebite in pediatric age group with symptoms of limb swelling proximal to the bite site. All cases were found to have extens...

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Main Authors: Ranjit Kumar Sahu, Sourabh Shankar Chakraborty, Suresh K., Sourabh Gupta
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2022-06-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1750376
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author Ranjit Kumar Sahu
Sourabh Shankar Chakraborty
Suresh K.
Sourabh Gupta
author_facet Ranjit Kumar Sahu
Sourabh Shankar Chakraborty
Suresh K.
Sourabh Gupta
author_sort Ranjit Kumar Sahu
collection DOAJ
description Nonvenomous snakebite, far outnumbering venomous bites, is a neglected occupational hazard in the Indian subcontinent. We encountered four cases of traditionally nonvenomous snakebite in pediatric age group with symptoms of limb swelling proximal to the bite site. All cases were found to have extensive fibrinous exudate and fibrinoid necrosis of the deeper layer of fat, deep to the intact skin and superficial layer of fat, extending far from the wound toward the proximal limb in continuity. This obscured presentation of infection and extensive necrosis of only the deeper layer of fat warrants exploratory incisions proximally for thorough debridement, underlying the normal appearing skin.
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issn 0970-0358
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language English
publishDate 2022-06-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
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series Indian Journal of Plastic Surgery
spelling doaj-art-b0fc3fbba6bc4f65b6f71ee5e74a597e2025-08-20T03:04:34ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2022-06-01550329930110.1055/s-0042-1750376Nonvenomous Snakebite in Pediatric Age Group—Wolf under a Sheep's CoatRanjit Kumar Sahu0Sourabh Shankar Chakraborty1Suresh K.2Sourabh Gupta3Department of Plastic Surgery, AIIMS, Bhubaneswar, Odisha, IndiaDepartment of Plastic Surgery, South Eastern Railway Central Hospital, Kolkata, West Bengal, IndiaDepartment of Plastic Surgery, GSL Medical College, Rajahmundry, Andhra Pradesh, IndiaDepartment of Nephrology and Paediatric Nephrology, Max Hospital, Vaishali, Uttar Pradesh, IndiaNonvenomous snakebite, far outnumbering venomous bites, is a neglected occupational hazard in the Indian subcontinent. We encountered four cases of traditionally nonvenomous snakebite in pediatric age group with symptoms of limb swelling proximal to the bite site. All cases were found to have extensive fibrinous exudate and fibrinoid necrosis of the deeper layer of fat, deep to the intact skin and superficial layer of fat, extending far from the wound toward the proximal limb in continuity. This obscured presentation of infection and extensive necrosis of only the deeper layer of fat warrants exploratory incisions proximally for thorough debridement, underlying the normal appearing skin.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1750376snakebitenonpoisonous snakeincision and drainagereconstructionfibrinoid necrosis
spellingShingle Ranjit Kumar Sahu
Sourabh Shankar Chakraborty
Suresh K.
Sourabh Gupta
Nonvenomous Snakebite in Pediatric Age Group—Wolf under a Sheep's Coat
Indian Journal of Plastic Surgery
snakebite
nonpoisonous snake
incision and drainage
reconstruction
fibrinoid necrosis
title Nonvenomous Snakebite in Pediatric Age Group—Wolf under a Sheep's Coat
title_full Nonvenomous Snakebite in Pediatric Age Group—Wolf under a Sheep's Coat
title_fullStr Nonvenomous Snakebite in Pediatric Age Group—Wolf under a Sheep's Coat
title_full_unstemmed Nonvenomous Snakebite in Pediatric Age Group—Wolf under a Sheep's Coat
title_short Nonvenomous Snakebite in Pediatric Age Group—Wolf under a Sheep's Coat
title_sort nonvenomous snakebite in pediatric age group wolf under a sheep s coat
topic snakebite
nonpoisonous snake
incision and drainage
reconstruction
fibrinoid necrosis
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1750376
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AT sureshk nonvenomoussnakebiteinpediatricagegroupwolfunderasheepscoat
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