Chronic kidney failure following lancehead bite envenoming: a clinical report from the Amazon region
J. venom. anim. toxins incl. trop. dis
;
26: e20200083, 2020. tab, graf
Article
in English
| LILACS, VETINDEX
| ID: biblio-1143216
ABSTRACT
Snakebite envenoming can be a life-threatening condition, for which emergency care is essential. The Bothrops (lancehead) genus is responsible for most snakebite-related deaths and permanent loss of function in human victims in Latin America. Bothrops spp. venom is a complex mixture of different proteins that are known to cause local necrosis, coagulopathy, and acute kidney injury. However, the long-term effects of these viper envenomings have remained largely understudied. Case presentation Here, we present a case report of a 46-years old female patient from Las Claritas, Venezuela, who was envenomed by a snake from the Bothrops genus. The patient was followed for a 10-year period, during which she presented oliguric renal failure, culminating in kidney failure 60 months after the envenoming. Conclusion:
In Latin America, especially in Brazil, where there is a high prevalence of Bothrops envenoming, it may be relevant to establish long-term outpatient programs. This would reduce late adverse events, such as chronic kidney disease, and optimize public financial resources by avoiding hemodialysis and consequently kidney transplantation.(AU)
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Poisoning
/
Snake Bites
/
Bothrops
/
Renal Insufficiency
Type of study:
Risk factors
Limits:
Animals
Language:
English
Journal:
J. venom. anim. toxins incl. trop. dis
Year:
2020
Type:
Article
Institution/Affiliation country:
Amazonas State University/BR
/
Federal University of Roraima/BR
/
Technical University of Denmark/DK
/
University of São Paulo/BR
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