{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T06:02:34Z","timestamp":1746424954343},"reference-count":19,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,1,9]]},"abstract":"<jats:p>The local signs and symptoms following snakebites are similar to those of cellulitis caused by bacterial infections. This leads to empirical treatment with antibiotics, which however is not supported by evidence. Procalcitonin (PCT) is a biomarker with good diagnostic accuracy for bacterial infection. We studied serum PCT concentration in 100 patients aged 13 years or more, presenting to the hospital with significant local manifestations (crossing the joint proximal to the bitten wound) within 24 hours after snakebite. The extent and progression of local manifestations were monitored 12 hourly. Baseline PCT measurement was carried out for all patients and measurement was repeated 12 hourly only in those patients with progressive local manifestations. The median interqartile range PCT concentration did not differ significantly by the severity of local manifestation at presentation (Grade 2 = 0.28 [0.26\u20130.30]; Grade 3 = 0.28 [0.26\u20130.32]; Grade 4 = 0.27 [0.26\u20130.32] ng\/mL; <jats:italic>P<\/jats:italic> = 0.15). Furthermore, we did not observe an increase in PCT concentration on serial estimation in those with progressive local manifestation (0.28, 0.29, and 0.29 ng\/mL) over 36 hours. These observations suggest that the local manifestations following snakebites were not caused by bacterial infection.<\/jats:p>","DOI":"10.4269\/ajtmh.17-0892","type":"journal-article","created":{"date-parts":[[2018,11,20]],"date-time":"2018-11-20T07:09:22Z","timestamp":1542697762000},"page":"146-149","source":"Crossref","is-referenced-by-count":4,"title":["Serum Procalcitonin Concentration and Its Relationship with Local Manifestations after Snakebites"],"prefix":"10.4269","volume":"100","author":[{"given":"Chanaveerappa","family":"Bammigatti","sequence":"first","affiliation":[{"name":"Departments of Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Preetham A.","family":"Reddy","sequence":"additional","affiliation":[{"name":"Departments of Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nandeesha","family":"Hanumanthappa","sequence":"additional","affiliation":[{"name":"Departments of Biochemistry, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. T.","family":"Harichandrakumar","sequence":"additional","affiliation":[{"name":"Departments of Biostatistics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rathinam Palamalai","family":"Swaminathan","sequence":"additional","affiliation":[{"name":"Departments of Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"PLoS Med","first-page":"e218","article-title":"The global burden of snakebite: a literature analysis and modelling based on regional estimates of envenoming and deaths","volume":"5","author":"Kasturiratne","year":"2008"},{"key":"b2","series-title":"PLoS Negl Trop Dis","first-page":"e1018","article-title":"Snakebite mortality in India: a nationally representative mortality 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