Spontaneous peri-nephric hematoma in a patient with acute kidney injury following Russell's viper envenomation

Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia
Vishal GolayRajendra Pandey

Abstract

Snake bite envenomation is a common cause of acute kidney injury (AKI) in the tropics and severe coagulopathy with bleeding manifestations is usually seen, especially with viperine bites. We present a case of a 34-year-old male who had developed AKI following Russell's viper envenomation along with disseminated intravascular coagulation. The patient was seemingly improving during the course of his treatment but subsequently developed a spontaneous unilateral peri-nephric hematoma and finally succumbed to this complication. This is a rare presentation that can be clinically innoccuous in a disease where there are multiple bleeding manifestations and, carries a very poor outcome.

Citations

May 25, 2016·Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia·Subramanian SenthilkumaranPonniah Thirumalaikolundusubramanian
Dec 19, 2020·The Journal of Venomous Animals and Toxins Including Tropical Diseases·Blaise Adelin TchaouJean-Philippe Chippaux

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