Chronic kidney failure following lancehead bite envenoming: a clinical report from the Amazon region

  • Pucca M
  • Franco M
  • Medeiros J
  • et al.
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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)

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APA

Pucca, M. B., Franco, M. V. S., Medeiros, J. M., Oliveira, I. S., Ahmadi, S., Cerni, F. A., … Laustsen, A. H. (2020). Chronic kidney failure following lancehead bite envenoming: a clinical report from the Amazon region. Journal of Venomous Animals and Toxins Including Tropical Diseases. https://doi.org/10.1590/1678-9199-jvatitd-2020-0083

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