title: Successful renal transplantation from a brain-dead deceased donor who died from snakebite: a case report.
abstract: Even though India is the country with the highest annual number of deaths (50,000) from snakebite, there is contradictory evidence regarding acceptance of deceased donors (DD) who died from this cause. We present 2 successful renal transplantations (RTx) from a brain-dead DD who died from a neurotoxic snakebite without manifestations of a viper bite. We accepted the donor as he exhibited no evidence of hematoxic snakebite. Rather the findings were consistent with a neurotoxic bite (probably krait), which can cause hypoxic brain injury. Both recipients established good diuresis intraoperatively and did not require hemodialysis. The patients were discharged with good diuresis and normal serum creatinines. After 3-month follow-up, both recipients show normal graft function. According to our experience of favorable RTx outcomes from a brain-dead DD who died from neurotoxic snakebite may expand the donor pool.
authors.affiliation: Department of Nephrology and Clinical Transplantation, Institute of Kidney Diseases and Research Center, Dr HL Trivedi Institute of Transplantation Sciences (IKDRC-ITS), Ahmedabad, India. Electronic address: drvivekkute@rediffmail.com.
authors.forename: V B
authors.initials: VB
authors.lastname: Kute
authors.forename: A V
authors.initials: AV
authors.lastname: Vanikar
authors.forename: H V
authors.initials: HV
authors.lastname: Patel
authors.forename: M R
authors.initials: MR
authors.lastname: Gumber
authors.forename: P R
authors.initials: PR
authors.lastname: Shah
authors.forename: D P
authors.initials: DP
authors.lastname: Engineer
authors.forename: P R
authors.initials: PR
authors.lastname: Modi
authors.forename: S J
authors.initials: SJ
authors.lastname: Rizvi
authors.forename: H L
authors.initials: HL
authors.lastname: Trivedi
mesh_terms: D000328:Adult; D001926:Brain Death; D002423:Cause of Death; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D012909:Snake Bites; D014019:Tissue Donors; D016896:Treatment Outcome