A Case of Acute Renal Failure Caused by Russell's Pit-viper Venom

นิทัศน์ วิไลวรรณ; Nitatt Vilaiwanna;
Date: 2550
Abstract
A 41- year-old woman was bitten on the left foot by a Russell’s Pit-viper. Four vials of antivenin were administered promptly on the first day; however, the antivenin did not prevent multiple organ bleeding from developing the following day. The patient had hematemesis, bleeding per vagina and oliguria the next day from acute renal failure. Owing to high levels of blood urea, creatinine and anuria, interventions including blood transfusion, antimicrobials, diuretic and 15 sessions of hemodialysis were given. All her conditions improved gradually; the patient was discharged from the hospital after being hospitalized for 45 days. This case is a good example showing that prompt antivenin administration along with other therapeutic modalities, especially adequate hydration, is effective in dealing with acute renal failure caused by this type of snakebite
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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