Thrombotic microangiopathy following Bothrops jararaca snakebite: case report.

Fábio BucaretchiMaíra M Branco PimentaCarla F Borrasca-FernandesCamila Carbone PradoEduardo Mello De CapitaniStephen Hyslop

Published in: Clinical toxicology (Philadelphia, Pa.) (2018)

TMA following snakebite has been reported mainly in India, Sri Lanka and Australia, with several patients needing renal replacement therapy. Although controversial, plasmapheresis has also been used in some cases. Our patient developed microangiopathic hemolytic anemia, thrombocytopenia and acute kidney injury, a triad of features compatible with TMA similar to HUS. Despite the severity, the outcome following conservative treatment was good, with complete recovery.

Keyphrases

acute kidney injury
case report
end stage renal disease
chronic kidney disease
ejection fraction
cardiac surgery
newly diagnosed
prognostic factors
smoking cessation