Muskan,
this little 8 year old girl in the snap appears all set to break into
a dance if some music is put on. As one of my colleagues put it,
smiles like this one can really take the stress off a very very busy
day.
There
is more reason for Muskan to put so much of a smile. Muskan came to
us more than a fortnight back after having been bitten by a chameleon
in her aunt's house where she had gone for a visit. The problem was
that after the chameleon bite, she started to feel very weird.
She
had a funny feeling in her throat and she found it difficult to open
her eyes.
Her
father was a sensible man and brought her to the 'bite hospital'
which is us. My colleague received her in emergency and she told him
that she was bitten by a girgit – that's the word for a chameleon.
Dr.
Ao did not feel that things were okay. He called for a second opinion
and while I was repeatedly asking her if she was quite positive that
the culprit creature was a girgit, it was very obvious that the ptosis
was worsening.
I
told my suspicion of a cobra bite to the relatives. They wanted to know about the
costs involved and was reluctant to give Anti-Snake Venom. To buy
time, I told them that I'll start off with a small dose and see how
things progress. However, as our staff got the ASV ready, she went
into a respiratory arrest and we had to put her on mechanical
ventilation.
Things
became easy for us. Very soon, she was receiving treatment for cobra bite.
With the ASV, atropine and neostigmine, she was
conscious, breathing on her own and talking after 3-4 hours. I again asked her about the
animal that bit her – girgit was the answer.
By
now, her bite site had swollen up quite a bit and it was obvious that
it was a cobra bite.
The next day, Muskan
narrated on how she had turned to take some rotis which was kept on a
window sill and as she turned after taking the food, she saw a
chameleon sitting beside the plate of rotis, which lunged at her and bit her on the upper part of her right arm. That narration was
difficult to believe as chameleons are quite timid creatures and they
run for their lives when they see someone.
However,
Muskan was the first of our two patients who misidentified the animal
that bit them.
About
our second patient, in the next post. And I can assure you that it is
hilarious.
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