Academic Journal
Characteristics and relative numbers of lethal snake bite cases in medicolegal practice in central Myanmar - a five year study
| العنوان: | Characteristics and relative numbers of lethal snake bite cases in medicolegal practice in central Myanmar - a five year study |
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| المؤلفون: | Thein, C.M., Byard, R.W. |
| المصدر: | http://dx.doi.org/10.1016/j.jflm.2019.03.005. |
| بيانات النشر: | Elsevier |
| سنة النشر: | 2019 |
| المجموعة: | The University of Adelaide: Digital Library |
| مصطلحات موضوعية: | Snake bite, Myanmar, forensic, death, Russell's viper |
| الوصف: | Clinical and pathological case files of lethal snakebites were reviewed from the Magway Region General Hospital, Magway, Myanmar, over a five-year period (January 2013 December 2017). A total of 2069 post-mortem examinations were performed which included 84 cases of lethal snake bite (4.1%). The annual numbers ranged from 10 out of a total of 268 autopsies in 2013 (3.7%), to 31 out of a total of 501 autopsies in 2016 (6.2%). There were 54 males (64%) and 30 females (36%) (M:F = 1.9:1; age range 5-75yrs, mean 33yrs). The most common time for lethal envenomation was August (16/84-19%), the middle of the monsoon season. 45/84 (54%) had acute renal failure, 27/84 (32%) were shocked, and the remaining 12/84 (14%) had disseminated intravascular coagulation. Twenty cases (24%) died within 24 h after envenomation. Fang marks were identified on the legs (either right or left) in 73/84 cases (87%) and on the arms in five cases (6%). The predominant findings at autopsy were of acute renal injury (82/84-98%), pituitary haemorrhage/necrosis (36/84-43%), and adrenal gland haemorrhage (30/84-36%). Despite the reduction in fatalities over the years snakebite from Russell's viper in particular remains an important contributor to mortality in central Myanmar despite the availability of antivenom. ; Chan Myae Thein, Roger W. Byard |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1752-928X 1878-7487 |
| Relation: | Journal of Clinical Forensic and Legal Medicine: an international journal of forensic and legal medicine, 2019; 63:52-55; http://hdl.handle.net/2440/120818; Byard, R.W. [0000-0002-0524-5942] |
| DOI: | 10.1016/j.jflm.2019.03.005 |
| الاتاحة: | http://hdl.handle.net/2440/120818 https://doi.org/10.1016/j.jflm.2019.03.005 |
| Rights: | © 2019 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved. |
| رقم الانضمام: | edsbas.E5AADCB |
| قاعدة البيانات: | BASE |
| تدمد: | 1752928X 18787487 |
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| DOI: | 10.1016/j.jflm.2019.03.005 |