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2018 ; 57
(8
): 1075-1080
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Clinical Condition and Management of 114 Mamushi (Gloydius blomhoffii) Bites in a
General Hospital in Japan
#MMPMID29279485
Chiba T
; Koga H
; Kimura N
; Murata M
; Jinnai S
; Suenaga A
; Kohda F
; Furue M
Intern Med
2018[Apr]; 57
(8
): 1075-1080
PMID29279485
show ga
Objective Mamushi (Gloydius blomhoffii) snakebite is the most common type of
snake injury in Japan and is also seen in China and Korea. Although the
components of Mamushi venom have been investigated, epidemiological and clinical
descriptions still remain limited in the English literature. The aim of this
study was to review the clinical features and management of patients with
injuries related to Mamushi snakebites. Methods We conducted a retrospective
examination of 114 Mamushi snakebite cases encountered at a general hospital in
Japan from January 2004 to November 2016. Data were collected from the medical
records. Results We found that Mamushi snakebites commonly occurred during summer
and the daytime, with elderly men typically being affected. The symptom grade at
initial consultation was significantly worse in the walk-in group than in the
ambulance admission group, probably due to treatment delay. The number of fangs
that pierced the skin was not related to the severity of the symptoms. The group
treated with a tourniquet more frequently exhibited exacerbation of symptoms than
those that received other treatments (p<0.001). Conclusion The delay between
patients being bitten and arriving at hospital as well as the number of fangs
that pierced the skin did not affect the duration of hospitalization; however,
proximal tourniquation should be avoided in such cases, as significant
exacerbation of local symptoms was observed when this procedure was applied.
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