J Anal Res Clin Med. 2015;3(2):126-128.
doi: 10.15171/jarcm.2015.019
  Abstract View: 506
  PDF Download: 331

Case Report

Unusual presentations of acute kidney injury and neurologic complications due to snake bite

Hamid Noshad 1, Reza Rikhtegar 2 * , Mehdi Hagdoost 3, Masood Dinevari 4, Hosein Mahmoodi 5

1 Professor, Chronic Kidney Disease Research Center, Sina Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
2 Assistant Professor, Neuroscience Research Centre, Imam Reza Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
3 Assistant Professor, Department of Infectious Disease, School of Medicine, Sina Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
4 Assistant Professor, Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
5 Student of Medicine, Islamic Azad University, Tabriz Branch, Tabriz, Iran

Abstract

Introduction: Vascularity of kidneys is very high, so these organs are potentially susceptible to be affected with toxins including snake venom. Hypersensitivity to snake venous could cause some neurological problem. Case Report: We present a 14-year-old boy with acute kidney injury (AKI) due to snake bite. After a few days, kidney failure with hematuria was developed. His serum creatinine level rose to 3 mg/dl and following 2 weeks gradually and decreased to normal level without any special treatment except for anti-venom, which was not prescribed inappropriate time (this type of AKI is not reported previously). He had seizure attacks, which were according to magnetic resonance imaging due to posterior reversible encephalopathy syndrome (PRES) (This neurologic complication has been seen in other kidney injuries but up to now it was not reported in snake bite victims). Conclusion: Sanke venom could cause PRES due to AKI and seizure could be one of the most important complications in snake bite.
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Submitted: 15 Mar 2015
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