title: Coagulopthy, acute kidney injury and death following Hypnale zara envenoming: the first case report from Sri Lanka.
abstract: Snakebite is a major medical problem in developing Asia. Hump-nosed pit viper (Genus Hypnale) causes the most number of snakebites with significant morbidity and mortality in Sri Lanka. Even though there are three species (Hypnale hypnale, Hypnale zara and Hypnale nepa) in Sri Lanka there are few published literature on species-specific clinico-epidemiological data. This report describes an authenticated fatal case of a 47 years old male due to coagulopthy and acute kidney injury following envenoming by H. zara in Sri Lanka.
authors.affiliation: Department of Biochemistry, University of Peradeniya, Sri Lanka.
authors.forename: Kalana
authors.initials: K
authors.lastname: Maduwage
authors.forename: Keerthi
authors.initials: K
authors.lastname: Kularatne
authors.forename: Abdul
authors.initials: A
authors.lastname: Wazil
authors.forename: Indika
authors.initials: I
authors.lastname: Gawarammana
mesh_terms: D058186:Acute Kidney Injury / Q000139:chemically induced*; D000818:Animals; D001777:Blood Coagulation / Q000187:drug effects*; D001778:Blood Coagulation Disorders / Q000139:chemically induced*; D003435:Crotalid Venoms / Q000633:toxicity*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D012909:Snake Bites; D013188:Sri Lanka; D017819:Viperidae
chemical_list: D003435:Crotalid Venoms