Renal cortical necrosis, peripheral gangrene, perinephric and retroperitoneal haematoma in a patient with a viper bite.
Snakebites are estimated to affect more than 2.5 million people annually, of whom more than 100,000 die. Viper bites cause various systemic symptoms such as: coagulopathy; haemolysis; acute renal failure; a generalized increase in capillary permeability; rhabdomyolysis; and neurotoxicity. Wide spectrums of vascular complications are seen. We report the case of a patient developing gangrenous changes in a lower limb along with the development of perinepheric and retroperitoneal haematoma with acute cortical necrosis of the kidneys.
Department of Internal Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh 160012, India.
Susheel
S
Kumar
Aman
A
Sharma
Kushaljit S
KS
Sodhi
Ajay
A
Wanchu
Niranjan
N
Khandelwal
Surjit
S
Singh
D000818:Animals; D005734:Gangrene / Q000209:etiology*; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D007668:Kidney / Q000473:pathology; D007673:Kidney Cortex Necrosis / Q000209:etiology*; D035002:Lower Extremity / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012187:Retroperitoneal Space / Q000473:pathology; D012909:Snake Bites / Q000150:complications* / Q000175:diagnosis; D017819:Viperidae