CLINICAL PRESENTATION

Clinical presentation of snakebite victim depends upon species of snake, amount of venom injected, season of the bite, whether snake is fed or unfed, site of bite, area covered or uncovered, dry or incomplete bite, multiple bites, venom injection in vessel, weight of the victim and time elapsed between the bite and administration of ASV. Venom concentration and constitution depends on environmental conditions as well as snake’s maturity and darkness of colour of snake (Bawaskar HS et al 2014).
Patient can present in the four clinical syndromes or in combination i.e. progressive weakness (neuroparalytic/neurotoxic), bleeding (vasculotoxic/haemotoxic), myotoxic and painful progressive Swelling.