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All Journal CRJIM (Clinical and Research Journal in Internal Medicine)
Siem, Rochelle Vernique
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Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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A 70-year-old Woman with Necrotic Wound Complications Following a Snake Bite Sutanto, Heri; Tri Maharani; Siem, Rochelle Vernique
Clinical and Research Journal in Internal Medicine Vol. 5 No. 2 (2024): Volume 5 No 2, November 2024
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.crjim.2024.005.02.15

Abstract

Snake bites pose a significant public health issue in Indonesia, leading to high morbidity and mortality rates. Proper identification of snake species and timely management are crucial. A 70-year-old woman was admitted to the emergency department 1.5 hours after being bitten by a snake. Initial management included applying a tourniquet and symptomatic treatment. However, local envenomation signs, such as edema and bullae, developed within 24 hours. Due to financial constraints, the patient could not receive continuous care, leading to complications, including necrosis and signs of secondary infection during follow-up. This case underscores the importance of early intervention and proper wound management in snake bites, particularly when the species is unidentified. Close monitoring is essential, as symptoms may evolve over time. Educating the patients and public regarding signs of necrosis and proper initial treatment is necessary. Effective management of snake bites requires a comprehensive approach, including prompt medical attention and ongoing education to reduce complications and improve patient outcomes. Keywords: Snake bite, envenomation, wound management, public health
Co-Authors Heri Sutanto Tri Maharani