title: 'A life threatening scratch on little toe' - at most clinical suspicion the essential key in management of snake bite.
abstract: Snake bites are one among the under reported clinical emergencies from tropical countries. There are variations in clinical presentation of snake bites and its toxic features differ with the species and type of bite. There are lots of controversies in the treatment guidelines which often makes it difficult to manage. We report the case of a severe hemotoxic snake bite who presented to the outpatient service of our hospital with a trivial foot injury. Even though snakebites are familiar clinical situations for an emergency physician from tropics, we report this case as most are under reported. We also intend to emphasize the excellent outcome of appropriately diagnosed and treated cases of snake bite.
authors.affiliation: Department of Medicine, Fr Muller Medical College, Fr Muller Road, Mangalore, South India, 575002.
authors.forename: George
authors.initials: G
authors.lastname: Peter
authors.forename: Panicker I
authors.initials: PI
authors.lastname: Georgy
mesh_terms: D000328:Adult; D000818:Animals; D000925:Anticoagulants / Q000633:toxicity; D000997:Antivenins / Q000627:therapeutic use*; D001777:Blood Coagulation; D006801:Humans; D008297:Male; D012909:Snake Bites / Q000097:blood / Q000188:drug therapy* / Q000473:pathology; D012910:Snake Venoms / Q000633:toxicity*; D017819:Viperidae
chemical_list: D000925:Anticoagulants; D000997:Antivenins; D012910:Snake Venoms
keywords: Anti snake venom; Coagulopathy; Envenomation; Snake bite; WHO guidelines