Annals of Tropical Medicine and Public Health

LETTER TO THE EDITOR
Year
: 2015  |  Volume : 8  |  Issue : 2  |  Page : 43-

Sonography of snakebite


Sora Yasri1, Viroj Wiwanitki2,  
1 KMT Medical Center, Bangkok, Thailand
2 Department of Tropical Medicine, Hainan Medical University, Hainan, Haikou, China

Correspondence Address:
Sora Yasri
KMT Medical Center, Bangkok
Thailand




How to cite this article:
Yasri S, Wiwanitki V. Sonography of snakebite .Ann Trop Med Public Health 2015;8:43-43


How to cite this URL:
Yasri S, Wiwanitki V. Sonography of snakebite . Ann Trop Med Public Health [serial online] 2015 [cited 2019 Nov 22 ];8:43-43
Available from: http://www.atmph.org/text.asp?2015/8/2/43/157293


Full Text

Dear Sir,

Snakebite is an important problem that is more frequent in the tropical world than in the Western world. The diagnosis of the problem is usually based on the clinical history. However, the use of a new diagnostic tool is interesting. The use of "sonography of snakebite" in cases of snakebite is very interesting. [1] Vohra et al. reported that "ultrasound imaging may allow for a more complete understanding of the local effects of snakebite" and observed "normal deeper muscle integrity in cases with diffuse leg edema." [1] In fact, the observation of ultrasonosphy might not be specific to snake envenomation. It might be the classical sign of pressure effect due to local swelling. [2] The finding in some snakes, such as the cobra, which do not cause much swelling might be different from the report by Vohra et al. [1] The role of ultrasonography seems to be limited in the diagnosis of snakebite but it might have some usefulness in monitoring the peripheral blood flow during the edema stage. [3] Finally, since snakebite can be fatal, the first thing is to save the life of the patient. The use of an unnecessary diagnostic tool should be less considered.

References

1Vohra R, Rangan C, Bengiamin R. Sonographic signs of snakebite. Clin Toxicol (Phila) 2014;52:948-51.
2Quintavalle PR, Lyder CH, Mertz PJ, Phillips-Jones C, Dyson M. Use of high resolution, high-frequency diagnostic ultrasound to investigate the pathogenesis of pressure ulcer development. Adv Skin Wound Care 2006;19:498-505.
3Gurucharri V, Henzel JH, Mitchell FL. Use of the Doppler flowmeter to monitor the peripheral bloodflow during the edema stage of snakebite. Plast Reconstr Surg 1974;53:551-4.