title: Acute anuric renal failure after pigmy rattlesnake bite.
abstract: Acute renal failure has been known to follow viper bites in up to 30% of patients, but we believe we have reported the first case in which anuric renal failure developed after the bite of a pigmy rattlesnake. Our patient's renal failure is thought to have been due to a combination of rhabdomyolysis and intrarenal thrombosis caused by DIC. Prompt surgical debridement should be offered to the victim of a bite by any poisonous snake, and antivenin should be administered to any patient with signs of systemic envenomation, with close monitoring for signs of allergic reactions.
authors.affiliation: Division of Nephrology, Hypertension and Transplantation, Department of Medicine, University of Florida, Gainesville 32610.
authors.forename: N G
authors.initials: NG
authors.lastname: Ahlstrom
authors.forename: W
authors.initials: W
authors.lastname: Luginbuhl
authors.forename: C C
authors.initials: CC
authors.lastname: Tisher
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology*; D000818:Animals; D000997:Antivenins / Q000009:adverse effects; D003435:Crotalid Venoms / Q000506:poisoning*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012909:Snake Bites / Q000150:complications* / Q000503:physiopathology; D012911:Snakes
chemical_list: D000997:Antivenins; D003435:Crotalid Venoms