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Kidney is an exceptionally vascularized organ and vulnerable to venom toxicity. Clinical appearances happen inside couple of hours to 72 hours of snake bite. Renal features incorporate flank torment, hematuria, hemoglobinuria, myoglobinuria, oliguria, and AKI.

AKI is created in up to 60% of Russell's snake nibble patients.

Oliguria goes on for 4-15 days, and delayed oliguria is normal in older.

Other appearance may incorporate acute interstitial nephritis, extra capillary proliferative glomerulonephritis and cortical corruption.

Death rates from snakebite-related AKI is assessed to be up to 35%.

Recuperation is complete in cases with cortical necrosis or extreme tubular necrosis with marked interstitial changes.

Does snake bite lead to renal failure?

Snake bite can cause acute kidney injury (AKI) through multiple mechanisms. A large number of these patients have severe kidney injury requiring renal replacement therapy. The long-term result of survivors of such severe AKI isn't known.

What does the snakebite management include?

Management of snakebite incorporates emergency treatment, local wound care, anti-venom and steady measures. Immobilization of the entire patient, particularly the bitten limb is required, and transportation ought to be orchestrated to the close by hospitals. Tight tourniquets should be kept away from so that the limb loss is limited. Anti-venom is the specific treatment.

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Snakebite with renal failure

Dr. M.V. Sai Krishna

Chief Nephrologist & Transplant Physician

Consultant Nephrologist