Mild venom-induced consumption coagulopathy associated with thrombotic microangiopathy following a juvenile Russell's viper (Daboia russelii) envenoming: A case report

Sumudu Priyankara, Vishmi Rathnasiri, Thanigasalan Mihiran,Gayani Premawansa,Geoffrey K. Isbister,Anjana Silva

Toxicon(2022)

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摘要
Russell's viper envenoming causes venom-induced consumption coagulopathy (VICC) within hours of a bite, which is associated with thrombotic microangiopathy (TMA) and acute kidney injury (AKI) in a proportion of cases. We report a juvenile Russell's viper bite in which a patient developed mild VICC after the usual 24-h observation period, which was subsequently associated with severe AKI due to TMA. This shows the clinical importance of detecting and treating mild VICC, which may be delayed or not detected with bedside clotting tests.
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关键词
Venom-induced consumption coagulopathy,Thrombotic microangiopathy,Delayed,Acute kidney injury,Russell's viper
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