Unveiling the Potential Threat of Bacterial Oral Flora of Snake in Snake Bite Envenomation

Abstract

Abstract Snakebite is an acute life-threatening and time-limited medical emergency. There is comparatively less evidence regarding the infections caused by pathogens present in the snake's oral flora that induce cellulites secondary to snake bite. Here, we report a case of 15-year-old male patient infected with Acinetobacter baumannii–induced sepsis who underwent hemodialysis posthemotoxic envenomation; inflicted by hemotoxic snake, Russell's viper (Daboia russelii) at right index finger, and he was treated with 20 vials of antisnake venom. He had acute kidney injury and underwent 10 cycles of hemodialysis. He had incidence of cellulites with sepsis, and pus culture showed the presence of A. baumannii isolates with extensive drug resistance. He was treated with piperacillin-tazobactam, vancomycin, imipenem, and colistin for the improvement of his health status. Thus, the management of snake bite–induced sepsis, bacterial susceptibility study of oral flora in local venomous snakes has to be studied.