The study of necrotising fasciitis due to bite of Indian russell viper

Abstract

Necrotizing fasciitis is an infection of deeper layers of skin and subcutaneous tissues confined up to facial planes. Here we are presenting the series of cases of Necrotizing fasciitis caused by the bite of Indian Russell viper [Duboia russeli], a snake found in Asian region. This is a study of patients coming to R. D. Gardi medical college, Ujjain, with Necrotizing fasciitis in the period between 1 st of January 2010 to 15 th of March 2014. The study was in terms of etiology, age and sex of the patients, parts of body involved, region from which the patients came, seasonal distribution and hospital stay. The cases of Necrotizing fasciitis coming to the hospital, caused due to snake bite were 25.49% of all the cases and mostly the patients were males belonging to rural population. Pus culture showed similar type of bacteria’s as in other cases. Hospital stay was more in these patients. Even the graft rejection was more. The Necrotizing fasciitis caused by the bite of Indian Russell Viper is more severe and requires aggressive management to limit its spread and minimize its complications.