Chronic kidney failure following lancehead bite envenoming: a clinical report from the Amazon region
Pucca, Manuela B; Franco, Michelle V. S; Medeiros, Jilvando M; Oliveira, Isadora S; Ahmadi, Shirin; Cerni, Felipe A; Zottich, Umberto; Bassoli, Bruna K; Monteiro, Wuelton M; Laustsen, Andreas H.
J. venom. anim. toxins incl. trop. dis;
26: e20200083, 2020. tab, graf
Artigo
em Inglês
| LILACS
| ID: biblio-1143216
Resumo
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)
Biblioteca responsável:
BR68.1
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