Report of a case of Cobra bite

Introduction :Every year, ۵ million snakebites occur worldwide, which is responsible for ۱۲۵,۰۰۰ deaths per year. Snake bites are especially common in tropical areas and areas that are agricultural poles because in these areas, many snakes coexist with humans. A snake bite can cause anything from a small puncture to a life-threatening illness.Purpose:The aim of this study was to report a case of Cobra bite.Patient introduction:An ۱۸-year-old male patient was bitten by a cobra in the right arm with symptoms of sweating, headache, dizziness, blurred vision, nausea, frequent vomiting, redness, swelling, tissue damage, pain and burning in the bite area. The vital signs of the patient included: BP=۱۰۰/۷۰, HR=۱۰۰, RR=۲۲, T=۳۷. After ۳۰ minutes, the patient had spasms and convulsions. Calcium gluconate and ۲ vials of Anti Snake Venom and Ceftriaxone were immediately administered to the patient within ۱ hour, CBC, PT, PTT, Na, K, BUN Cr and ECG tests were requested for the patient. became. CBC was normal, PT=۱۴, PTT=۳۳, Na=۱۳۵, K=۶, BUN=۷, Cr=۰.۸ and ECG was normal. Xylocaine ointment was prescribed for pain at the bite site. Due to the abnormality of the tests, as well as frequent seizures, the patient was monitored for up to ۲۴ hours, and Na K, PT and PTT tests were requested for the patient every ۶ hours. Finally, after ۴۸ hours, the patient was discharged with normal test results and full consciousness.Discussion and conclusion:It should always be kept in mind that the initial symptoms following a bite can be misleading and sometimes the victim, while not having significant initial symptoms, suddenly goes into shock and breathing problems. In cases of cobra bites, due to spasms and convulsions, in addition to antivenom, administration of calcium gluconate should be considered.

کلیدواژه ها:

Cobra bite ، Spasms ، Convulsions