Kallol Bhattacharjee1 , Sanjeeb Roy2
BACKGROUND Snakebite is one of the commonest occupational hazards in our country, especially among the rural population. It leads to a multitude of complications starting from localized cellulitis to even death. AKI is a significant as well as an under reported complication in patients of snake bite which has a tremendous impact on the final outcome. The unfavourable outcome in snake envenomation can be predicted early with the development of AKI. We wanted to assess the clinical profile of snakebite patients and determine the incidence of AKI in patients of snakebite. METHODS The study included 92 patients of snakebite admitted in the Department of Medicine, Silchar Medical College & Hospital (SMCH) done over a duration of 24 months. The various data regarding clinical features of the patients, serum creatinine levels, other blood parameters of the patients selected for participation in the study were analysed using simple statistical methods. RESULTS Majority of the snakebite victims were males. The commonest site of snake bite was the lower limbs. 17.4 % (n = 16) of the cases developed AKI. The mortality in patients of snakebite developing AKI was 25 % (n = 4). CONCLUSIONS Snakebite envenomation is associated with a considerable burden of AKI in the developing countries especially among the rural population. Prompt initiation of aggressive treatment improves the final outcome.
