Journal
WILDERNESS & ENVIRONMENTAL MEDICINE
Volume 30, Issue 1, Pages 66-78Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.wem.2018.10.003
Keywords
snakebites; acute kidney injury; microangiopathic haemolysis; coagulopathy; Sri Lanka
Ask authors/readers for more resources
Thrombotic microangiopathy (TMA), which includes the spectrum of hemolytic uremic syndrome and thrombotic thrombocytopenic purpura, is an uncommon complication of hump-nosed pit viper envenomation. We describe 4 cases of TMA following hump-nosed pit viper (Hypnale spp) bites in Sri Lanka. The first case is a typical TMA that spontaneously resolved with supportive treatments. The second and third cases are related to hemolytic uremic syndrome complicated with acute kidney injury that required hemodialysis. The fourth case is thrombotic thrombocytopenic purpura associated with acute kidney injury that required hemodialysis and therapeutic plasma exchange. For each patient we describe the circumstances of the bite, clinical features, laboratory findings, and management.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available