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Snake bite envenomation: experience at King Abdulaziz Medical City, Riyadh
H Al-Durihim1, M Al-Hussaini, S Bin Salih
1Department of Medicine, King Fahad National Guard Hospital, King Abdulaziz Medical City, Riyadh, Saudi Arabia. medicine1@ngha.med.sa
Abstract:
We surveyed the records of 21 of the 28 snakebite victims seen at King Fahad National Guard Hospital in Riyadh over the 20-year period 1986-2005. The most common symptoms were local pain and swelling and the most common signs oedema and tenderness. Neurotoxicity was not noted in any case. Coagulopathy was recorded for 14/21 patients (66.7%) and 5/19 (26.4%) had leukocytosis. All patients were given tetanus toxoid (100%) and 20 (95.2%) received antivenom. Blood products were administered in 2 cases and prophylactic antibiotics in 10 (47.6%). No allergic reaction to antivenom was reported.
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