title: Spontaneous peri-nephric hematoma in a patient with acute kidney injury following Russell's viper envenomation.
abstract: Snake bite envenomation is a common cause of acute kidney injury (AKI) in the tropics and severe coagulopathy with bleeding manifestations is usually seen, especially with viperine bites. We present a case of a 34-year-old male who had developed AKI following Russell's viper envenomation along with disseminated intravascular coagulation. The patient was seemingly improving during the course of his treatment but subsequently developed a spontaneous unilateral peri-nephric hematoma and finally succumbed to this complication. This is a rare presentation that can be clinically innoccuous in a disease where there are multiple bleeding manifestations and, carries a very poor outcome.
authors.affiliation: Department of Nephrology, Institute of Postgraduate Medical Education and Research, Kolkata, India.
authors.forename: Vishal
authors.initials: V
authors.lastname: Golay
authors.forename: Arpita
authors.initials: A
authors.lastname: Roychowdhary
authors.forename: Rajendra
authors.initials: R
authors.lastname: Pandey
mesh_terms: D058186:Acute Kidney Injury / Q000097:blood / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D000328:Adult; D000818:Animals; D000997:Antivenins / Q000627:therapeutic use; D001777:Blood Coagulation; D001780:Blood Coagulation Tests; D001803:Blood Transfusion; D004211:Disseminated Intravascular Coagulation / Q000097:blood / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D017809:Fatal Outcome; D006406:Hematoma / Q000097:blood / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D006435:Renal Dialysis; D017840:Daboia; D012909:Snake Bites / Q000097:blood / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014757:Viper Venoms
chemical_list: D000997:Antivenins; D014757:Viper Venoms