Contribution of ultrasonography to the diagnosis of internal bleeding in snakebite envenomation
Abstract Background In Africa, snakebite envenomations are frequently complicated by life-threatening hemorrhagic syndromes. The authors of the present study conducted a prospective analysis at the University Hospital of Parakou (north of Benin) for seven months (January 1 to July 31, 2014) to asses...
Published in: | Journal of Venomous Animals and Toxins including Tropical Diseases |
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ftdoajarticles:oai:doaj.org/article:92ae06ea6a7341fe9229ec26b918d6e0 2023-05-15T15:08:27+02:00 Contribution of ultrasonography to the diagnosis of internal bleeding in snakebite envenomation Blaise Adelin Tchaou Kofi-Mensa Savi de Tové Yolande Sissinto-Savi de Tové Aurélien Tchémaha C. Djomga Abdou-Rahman Aguemon Achille Massougbodji Jean-Philippe Chippaux 2016-04-01T00:00:00Z https://doi.org/10.1186/s40409-016-0063-x https://doaj.org/article/92ae06ea6a7341fe9229ec26b918d6e0 EN eng SciELO http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-91992016000100306&lng=en&tlng=en https://doaj.org/toc/1678-9199 1678-9199 doi:10.1186/s40409-016-0063-x https://doaj.org/article/92ae06ea6a7341fe9229ec26b918d6e0 Journal of Venomous Animals and Toxins including Tropical Diseases, Vol 22, Iss 0 (2016) Envenomation Ultrasound Internal bleeding Hemoperitoneum Hematoma Arctic medicine. Tropical medicine RC955-962 Toxicology. Poisons RA1190-1270 Zoology QL1-991 article 2016 ftdoajarticles https://doi.org/10.1186/s40409-016-0063-x 2022-12-31T08:49:33Z Abstract Background In Africa, snakebite envenomations are frequently complicated by life-threatening hemorrhagic syndromes. The authors of the present study conducted a prospective analysis at the University Hospital of Parakou (north of Benin) for seven months (January 1 to July 31, 2014) to assess the contribution of ultrasonography to the diagnosis of internal bleedings and management of envenomation. Methods An ultrasound examination was performed in all patients with clinical envenomation regardless of its severity. The study involved 32 patients admitted to the ICU of the University Hospital of Parakou. Results The average age was 27 ± 13.9 years. The main signs of severity were: prolongation of clotting time (88 %), severe anemia (41 %), clinical hemorrhage (47 %), and shock (19 %). The ultrasound imaging showed internal hemorrhage in 18 patients (56 %). There were hematomas (22 %), hemoperitoneum (13 %) or a combination of both (22 %). The occurrence of internal bleeding and hemoperitoneum were mainly related to the delay of hospital presentation (p = 0.007) and the existence of external bleeding (p = 0.04). Thirty patients (94 %) received antivenom. Case fatality rate was 3.1 %. Conclusion Ultrasonography may help in diagnosing internal bleeding, even in patients that did not show external hemorrhages, and evaluating its importance. As a consequence, the management of snakebite victims may be significantly improved. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Journal of Venomous Animals and Toxins including Tropical Diseases 22 1 |
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Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Envenomation Ultrasound Internal bleeding Hemoperitoneum Hematoma Arctic medicine. Tropical medicine RC955-962 Toxicology. Poisons RA1190-1270 Zoology QL1-991 |
spellingShingle |
Envenomation Ultrasound Internal bleeding Hemoperitoneum Hematoma Arctic medicine. Tropical medicine RC955-962 Toxicology. Poisons RA1190-1270 Zoology QL1-991 Blaise Adelin Tchaou Kofi-Mensa Savi de Tové Yolande Sissinto-Savi de Tové Aurélien Tchémaha C. Djomga Abdou-Rahman Aguemon Achille Massougbodji Jean-Philippe Chippaux Contribution of ultrasonography to the diagnosis of internal bleeding in snakebite envenomation |
topic_facet |
Envenomation Ultrasound Internal bleeding Hemoperitoneum Hematoma Arctic medicine. Tropical medicine RC955-962 Toxicology. Poisons RA1190-1270 Zoology QL1-991 |
description |
Abstract Background In Africa, snakebite envenomations are frequently complicated by life-threatening hemorrhagic syndromes. The authors of the present study conducted a prospective analysis at the University Hospital of Parakou (north of Benin) for seven months (January 1 to July 31, 2014) to assess the contribution of ultrasonography to the diagnosis of internal bleedings and management of envenomation. Methods An ultrasound examination was performed in all patients with clinical envenomation regardless of its severity. The study involved 32 patients admitted to the ICU of the University Hospital of Parakou. Results The average age was 27 ± 13.9 years. The main signs of severity were: prolongation of clotting time (88 %), severe anemia (41 %), clinical hemorrhage (47 %), and shock (19 %). The ultrasound imaging showed internal hemorrhage in 18 patients (56 %). There were hematomas (22 %), hemoperitoneum (13 %) or a combination of both (22 %). The occurrence of internal bleeding and hemoperitoneum were mainly related to the delay of hospital presentation (p = 0.007) and the existence of external bleeding (p = 0.04). Thirty patients (94 %) received antivenom. Case fatality rate was 3.1 %. Conclusion Ultrasonography may help in diagnosing internal bleeding, even in patients that did not show external hemorrhages, and evaluating its importance. As a consequence, the management of snakebite victims may be significantly improved. |
format |
Article in Journal/Newspaper |
author |
Blaise Adelin Tchaou Kofi-Mensa Savi de Tové Yolande Sissinto-Savi de Tové Aurélien Tchémaha C. Djomga Abdou-Rahman Aguemon Achille Massougbodji Jean-Philippe Chippaux |
author_facet |
Blaise Adelin Tchaou Kofi-Mensa Savi de Tové Yolande Sissinto-Savi de Tové Aurélien Tchémaha C. Djomga Abdou-Rahman Aguemon Achille Massougbodji Jean-Philippe Chippaux |
author_sort |
Blaise Adelin Tchaou |
title |
Contribution of ultrasonography to the diagnosis of internal bleeding in snakebite envenomation |
title_short |
Contribution of ultrasonography to the diagnosis of internal bleeding in snakebite envenomation |
title_full |
Contribution of ultrasonography to the diagnosis of internal bleeding in snakebite envenomation |
title_fullStr |
Contribution of ultrasonography to the diagnosis of internal bleeding in snakebite envenomation |
title_full_unstemmed |
Contribution of ultrasonography to the diagnosis of internal bleeding in snakebite envenomation |
title_sort |
contribution of ultrasonography to the diagnosis of internal bleeding in snakebite envenomation |
publisher |
SciELO |
publishDate |
2016 |
url |
https://doi.org/10.1186/s40409-016-0063-x https://doaj.org/article/92ae06ea6a7341fe9229ec26b918d6e0 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Journal of Venomous Animals and Toxins including Tropical Diseases, Vol 22, Iss 0 (2016) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1678-91992016000100306&lng=en&tlng=en https://doaj.org/toc/1678-9199 1678-9199 doi:10.1186/s40409-016-0063-x https://doaj.org/article/92ae06ea6a7341fe9229ec26b918d6e0 |
op_doi |
https://doi.org/10.1186/s40409-016-0063-x |
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Journal of Venomous Animals and Toxins including Tropical Diseases |
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22 |
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