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Volume 3 Issue 1 (January - March, 2015)

Original Articles

To determine cases of acute kidney injury in snake venomic patients
Arshied Hussain Bhat

Background: Snake envenoming is an important yet neglected tropical disease. The present study was conducted to determine cases of (AKI) acute kidney injury in snake venomic patients. Materials & Methods: The present study was conducted on 89 patients of snake venomic patients who had AKI of both genders. In all patients clinical characteristics, complications and outcome of duration of hospital stay, requirement for intensive care unit support, treatment with dialysis, survival and mortality were analyzed. Results: Out of 89 patients, males were 57 and females were 32. 56 patients were farmer, 28 were labourer and 5 were home makers. The mean Prothrombin time was 30.7 seconds, INR was 2.7 and partial thromboplastin time was 50.4 seconds. Maximum creatine kinase was 6578 IU/L. Mean ICU stay was 3.4 days and patients on ventilator were 65. The snake-envenomed syndromes were as isolated renal in 9, renal and hematological in 27, renal and neurological in 5 and renal, hematological and neurological in 48 patients. The difference was significant (P< 0.05). Conclusion: Authors found that Snake bite is a significant public health problem causing considerable morbidity and mortality. In present study, renal outcomes were relatively good. Key words: Acute kidney injury, Prothrombin time, Snake bite

 
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