Abstract
Snakebite is not an uncommon cause of acute renal failure (ARF) in developing countries. We report a12-year-old boy who presented with oliguric ARF following snakebite. He had pallor, icterus, generalized edema, hypertension, and was oliguric. Investigations revealed severe azotemia, microangiopathic hemolytic anemia, thrombocytopenia, prolonged coagulation parameters, and raised fibrin degradation products, suggesting disseminated intravascular coagulation as the cause of ARF. The patient improved with antisnake venom, dialysis, and other supportive treatment.
References
Chugh KS, Pal Y, Chakravarty RN, Datta BN, Mehta R, Sakhuja V, Mandal AK, Sommers SC (1984) Acute renal failure following poisonous snake bite. Am J Kidney Dis 4:30–38
Reid HA (1961) Myoglobulinuria and sea snake bite poisoning. BMJ 1:1284–1289
Steinbeck AW (1960) Nephrotic syndrome developing after snakebite. Med J Aust 1:543–545
Seedat YK, Reddy J, Endington DA (1974) Acute renal failure due to proliferative nephritis from snakebite poisoning. Nephron 13:455–463
Chugh KS, Mohanti D, Pal Y, Das KC (1979) Coagulation abnormalities induced by Russell’s viper venom in the Rhesus monkey. Am J Trop Med Hyg 28:763–769
Date A, Shastry JCM (1982) Renal ultrastructure in acute tubular necrosis following Russell’s viper evenomation J Pathol 137:225–241
Warrell DA, Pope HM, Prentice CRM (1976) Disseminated intravascular coagulation caused by the carpet viper; trial of heparin. Br J Hematol 33:335–342
Basu J, Majumdar G, Dutta A, Sengupta SK, Kundu B, Dass S, Neelakantan C, Sinha S, Mukherjie A, Saha SC, Chhetri MK (1977) Acute renal failure following snake bite. J Assoc Physicians India 25:883–890
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Karthik, S., Phadke, K.D. Snakebite-induced acute renal failure. Pediatr Nephrol 19, 1053–1054 (2004). https://doi.org/10.1007/s00467-004-1507-z
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00467-004-1507-z