DR.

OMAIMA ABDEL MOHSEN MOHAMMED

INFECTIOUS DISEASE SPECIALIST &EPIDMIOLOGEST
ZAGAZIG FEVER HOSPITAL
Snake
symptoms
venom

50% toxic hemorrhagic

50% non
paralytic
toxic
Hemorrhagic snake bites
Clinical picture(grades)

sever

moderate

mild

minimal
 •No local or general symptoms with in 8-12 h from bite
minimal

•Local swelling ,no general symptoms

•Feeling of sickness
mild

•Increase swelling with no tissue destruction

•No general or hemorrhagic symptoms
moderate

•Tissue destruction
•Sever life threating hemorrhagic
sever •Few general symptoms(general weakness, diarrhea ,or shock
 Investigation

•Platelet count •INR

•PT
•Fibrinogen

Coagulation
CBC /4-6
profile /4-
h
6h

Kidney
metabolic
function

•Blood sugar •Createnine

•urea
 Clinical
symptoms

Asymptomatic
symptomati
cses

minimal mild

moderate

sever
 Asymptomatic cases

Close
observation
for 24 h

Follow case
progression Minimal case Complete

management
to the higher investigation
categories

Follow up
biting site /h
 Symptomatic cases

mild moderat sever