title: Monitor lizard bite-induced acute kidney injury--a case report.
abstract: Envenomations by venomous lizards are rare. Monitor lizard bite-induced acute kidney injury (AKI) is a previously unreported complication in humans. A 55-year-old female was bitten on her right leg during farming activity by a monitor lizard (Varanus bengalensis). The patient experienced severe local pain and bleeding from the wound, coagulopathy, hemolysis, rhabdomyolysis, sepsis, and AKI. Patient was treated with supportive care and peritoneal dialysis but succumbed to a sudden cardiac arrest. Post mortem kidney biopsy revealed pigment induced-acute tubular injury. AKI after monitor lizard envenomation is caused by acute tubular injury in the setting of intravascular hemolysis, rhabdomyolysis and sepsis. Coagulopathy and direct nephrotoxicity may be the other contributory factors in causing AKI.
authors.affiliation: Department of Nephrology, Indira Gandhi Medical College , Shimla, Himachal Pradesh , India and.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Vikrant
authors.forename: Balbir Singh
authors.initials: BS
authors.lastname: Verma
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology* / Q000473:pathology; D000818:Animals; D001733:Bites and Stings / Q000150:complications*; D001778:Blood Coagulation Disorders / Q000209:etiology; D005260:Female; D006323:Heart Arrest / Q000209:etiology; D006461:Hemolysis; D006801:Humans; D007869:Leg Injuries / Q000150:complications*; D007964:Leukocytosis / Q000209:etiology; D008116:Lizards; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D012206:Rhabdomyolysis / Q000209:etiology