UTILITY OF SERUM CRP AND LDH AS MARKERS OF HEMOTOXICITY IN SNAKE BITE VICTIMS: HOSPITAL BASED STUDY

Abstract

Background: Snakebite is a common medical emergency and an occupational hazard commonly seen in the rural as well as suburban population. In this study to determine the utility of Serum CRP and LDH as Markers of hemotoxicity in snake bite victims.

Materials & Methods: This hospital based prospective study was conducted a total 60 admitted patients in the department of general medicine at Vedantaa Institute of Medical Sciences, Palghar during June 2020 to December 2020. The patients were included were with alleged history of snake bite & history of unknown bite but with symptoms and signs compatible with snake bite envenomation otherwise patients were excluded.

Results: Most frequent site of snakebite was the lower limbs constituting 85.0% of bites. Majority (41.7%) of the patients presented with features compatible with moderate envenomation. Serum CRP showed a significant elevation in their levels in the severe as compared to the mild envenomed group.

Conclusion: Snakebite commonly affects people in the younger age group & hemotoxic envenomation is most common manifestation of envenomation observed.

Keywords: Snakebite, Envenomation, Serum CRP, LDH, Haematological Parameters.