CC BY-NC-ND 4.0 · Indian J Plast Surg 2022; 55(03): 299-301
DOI: 10.1055/s-0042-1750376
Case Series

Nonvenomous Snakebite in Pediatric Age Group—Wolf under a Sheep's Coat

1   Department of Plastic Surgery, AIIMS, Bhubaneswar, Odisha, India
2   Department of Plastic Surgery, South Eastern Railway Central Hospital, Kolkata, West Bengal, India
3   Department of Plastic Surgery, GSL Medical College, Rajahmundry, Andhra Pradesh, India
4   Department of Nephrology and Paediatric Nephrology, Max Hospital, Vaishali, Uttar Pradesh, India
› Author Affiliations


Nonvenomous snakebite, far outnumbering venomous bites, is a neglected occupational hazard in the Indian subcontinent. We encountered four cases of traditionally nonvenomous snakebite in pediatric age group with symptoms of limb swelling proximal to the bite site. All cases were found to have extensive fibrinous exudate and fibrinoid necrosis of the deeper layer of fat, deep to the intact skin and superficial layer of fat, extending far from the wound toward the proximal limb in continuity. This obscured presentation of infection and extensive necrosis of only the deeper layer of fat warrants exploratory incisions proximally for thorough debridement, underlying the normal appearing skin.

Publication History

Article published online:
05 July 2022

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