Snakebite-induced acute kidney injury: data from Southeast Anatolia

Renal Failure
Ramazan DanisOrhan Yazanel

Abstract

Renal failure is an important complication of snakebite and a major cause of mortality. We aimed to study the clinical profile of snake envenomation in Southeast Anatolia, Turkey, in an adult population. We retrospectively analyzed the records of 200 snakebite victims from 1998 to 2006 at the Dicle University School of Medicine, Diyarbakir, Turkey. Sixteen patients (8%) developed AKI (acute kidney injury). Of those, 25% required dialysis and 18% died. There was no difference between groups in age, arrival time to hospital, and hospital stay time. Both groups received similar hydration and therapy at admission. Disseminated intravascular coagulation (DIC) was observed in 25% of the AKI group and was significantly higher than the non-AKI group (7.1%; p = 0.014). There was no significant difference regarding hemoglobin, platelet levels, and prothrombin time at admission. The prevalence of thrombocytopenia (<150,000 K/UL ) was 60% in the AKI group and 40% in the non-AKI group (p > 0.05). WBC count was significantly higher in the AKI group than in those without AKI (p = 0.001); serum albumin was significantly lower in the AKI group than in those without AKI (p = 0.013). AKI is an important complication of snakebite that may lead to ...Continue Reading

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Citations

Apr 6, 2013·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Kavitha SaravuRishikesh Kumar
Jul 27, 2020·The Journal of Venomous Animals and Toxins Including Tropical Diseases·Polianna Lemos Moura Moreira AlbuquerqueElizabeth De Francesco Daher
Sep 26, 2020·Journal of Veterinary Emergency and Critical Care·Jennifer MartinezMichael Schaer
Dec 19, 2020·The Journal of Venomous Animals and Toxins Including Tropical Diseases·Blaise Adelin TchaouJean-Philippe Chippaux
Feb 10, 2021·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Subhankar SarkarMignon McCulloch
Dec 8, 2020·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Supriya SampleyHarpal Singh

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