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https://hdl.handle.net/2440/120818
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dc.contributor.author | Thein, C.M. | - |
dc.contributor.author | Byard, R.W. | - |
dc.date.issued | 2019 | - |
dc.identifier.citation | Journal of Clinical Forensic and Legal Medicine: an international journal of forensic and legal medicine, 2019; 63:52-55 | - |
dc.identifier.issn | 1752-928X | - |
dc.identifier.issn | 1878-7487 | - |
dc.identifier.uri | http://hdl.handle.net/2440/120818 | - |
dc.description.abstract | Clinical and pathological case files of lethal snakebites were reviewed from the Magway Region General Hospital, Magway, Myanmar, over a five-year period (January 2013 December 2017). A total of 2069 post-mortem examinations were performed which included 84 cases of lethal snake bite (4.1%). The annual numbers ranged from 10 out of a total of 268 autopsies in 2013 (3.7%), to 31 out of a total of 501 autopsies in 2016 (6.2%). There were 54 males (64%) and 30 females (36%) (M:F = 1.9:1; age range 5-75yrs, mean 33yrs). The most common time for lethal envenomation was August (16/84-19%), the middle of the monsoon season. 45/84 (54%) had acute renal failure, 27/84 (32%) were shocked, and the remaining 12/84 (14%) had disseminated intravascular coagulation. Twenty cases (24%) died within 24 h after envenomation. Fang marks were identified on the legs (either right or left) in 73/84 cases (87%) and on the arms in five cases (6%). The predominant findings at autopsy were of acute renal injury (82/84-98%), pituitary haemorrhage/necrosis (36/84-43%), and adrenal gland haemorrhage (30/84-36%). Despite the reduction in fatalities over the years snakebite from Russell's viper in particular remains an important contributor to mortality in central Myanmar despite the availability of antivenom. | - |
dc.description.statementofresponsibility | Chan Myae Thein, Roger W. Byard | - |
dc.language.iso | en | - |
dc.publisher | Elsevier | - |
dc.rights | © 2019 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved. | - |
dc.source.uri | http://dx.doi.org/10.1016/j.jflm.2019.03.005 | - |
dc.subject | Snake bite; Myanmar; forensic; death; Russell's viper | - |
dc.title | Characteristics and relative numbers of lethal snake bite cases in medicolegal practice in central Myanmar - a five year study | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1016/j.jflm.2019.03.005 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Byard, R.W. [0000-0002-0524-5942] | - |
Appears in Collections: | Aurora harvest 4 Medicine publications |
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