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Case Studies | Medicine | India | Volume 11 Issue 12, December 2022 | Rating: 5.2 / 10
A Rare Case of Hemolytic Uremic Syndrome in Patient with Russel Viper Snake Bite
Dr. Arkin Shah | Dr. Pal S. Patel
Abstract: Snake bite is predominantly an occupational hazard and causes severe health issues. Snake poisoning in India is a significant and prevalent cause of Acute Kidney Injury (AKI). Mechanisms such as haemodynamic disturbances, direct tubular toxicity, coagulopathy, haemoglobinuria, and myoglobinuria can cause AKI after bites by snakes. Renal pathologic findings include acute tubular necrosis, cortical necrosis, interstitial nephritis, glomerulonephritis, and vasculitis. Thrombotic Microangiopathy (TMA) as a cause of snakebite-induced AKI is very rare. Haemolytic Uremic Syndrome (HUS) is a clinical disease that includes TMA, thrombocytopenia, and AKI as a triad. The HUS is a heterogeneity of illnesses with different aetiology which results in presentation, therapy and outcomes variance. Hereby, authors report a case of a 60-year-old male Who was bitten by Russell viper and developed HUS. Patient eventually progressed to AKI and then managed at our setup successfully after 19 days of continuous monitoring and management by the supportive measures, plasmapheresis and hemodialysis. HUS should be taken into account as a probable cause of AKI following a snake bite.
Keywords: Snake Bite, Hemolyticuremic Syndrome, Acute kidney Injury, Schistiocytes, Plasmapheresis
Edition: Volume 11 Issue 12, December 2022,
Pages: 758 - 760