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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 18, No. 3, 2013, pp. 53-55
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Bioline Code: js13058
Full paper language: English
Document type: Case Report
Document available free of charge
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East and Central African Journal of Surgery, Vol. 18, No. 3, 2013, pp. 53-55
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Extended Debridement and Skin Graft as Local Treatment of Cobra Snake Bite Injury: A Case Report.
Mari, G.; Abonga, J.; Romano, P.; Ojom, L.; Olin, J. C. O.; Komakech, M.; Costanzi, A. & Brown, P.
Abstract
Snakebite is a serious issue in rural areas of developing countries as Uganda. In children above all snakebite seems to be more common. Availability of anti-venoms is very poor. Local tissue damagecaused by snake venom, either cytotoxic or necrotic, can continue even after systemic crisis has expired. We report the case of a 5 years old male child, born in Kitgum district, Northern Uganda, carried in hospital for a Cobra snake bite on the right foot who could not receive anti-venom. Debridement of the bite site, wound lavage, amputation and skin graft were required. Progression of the local infection associated to the reappearance of high fever induced us to bring the debridement up to the leg almost at the level of the knee in order to prevent unset of tibial Osteomyelitis and to be able to perform skin grafting.
Keywords
Snakebite; Cobra; surgical treatment; debridement; skin graft; osteomyelitis
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© Copyright 2013 - East and Central African Journal of Surgery
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