| Literature DB >> 31870797 |
Rathnayaka Mudiyanselage M K Namal Rathnayaka1, P E Anusha Nishanthi Ranathunga2, Senanayake A M Kularatne3.
Abstract
A 65-y-old previously healthy farmer developed thrombotic microangiopathy (TMA) comprising the triad of acute kidney injury, microangiopathic haemolysis, and thrombocytopenia after a proven Hypnale zara (hump-nosed pit viper) bite. He developed coagulopathy, which was treated with fresh frozen plasma, and underwent 8 cycles of hemodialysis. He is being followed up in the nephrology clinic for acute kidney injury. TMA caused by Hypnale hypnale, the commonest species of genus Hypnale, has previously been reported, but this is the first known case of TMA following a bite by H zara, the endemic species in Sri Lanka.Entities:
Keywords: acute kidney injury; coagulopathy; fresh frozen plasma; hemolytic uremic syndrome; microangiopathic hemolysis; snakebites
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Year: 2019 PMID： 31870797 DOI： 10.1016/j.wem.2019.08.009
Source DB: PubMed Journal: Wilderness Environ Med ISSN： 1080-6032 Impact factor: 1.518