PMCC PMCC

Search tips
Search criteria

Advanced
Results 1-2 (2)
 

Clipboard (0)
None

Select a Filter Below

Journals
Authors
Year of Publication
Document Types
1.  Viper bites complicate chronic agrochemical nephropathy in rural Sri Lanka 
Snakebite is a common occupational health hazard among Sri Lankan agricultural workers, particularly in the North Central Province. Viperine snakes, mainly Russell’s viper envenomation, frequently lead to acute renal failure. During the last two decades, an agrochemical nephropathy, a chronic tubulointerstitial disease has rapidly spread over this area leading to high morbidity and mortality. Most of the epidemiological characteristics of these two conditions overlap, increasing the chances of co-occurrence. Herein, we describe four representative cases of viperine snakebites leading to variable clinical presentations, in patients with chronic agrochemical nephropathy, including two patients presented with acute and delayed anuria. These cases suggest the possibility of unusual manifestations of snakebite in patients with Sri Lankan agrochemical nephropathy, of which the clinicians should be aware. It could be postulated that the existing scenario in the Central America could also lead to similar clinical presentations.
doi:10.1186/1678-9199-20-33
PMCID: PMC4136642  PMID: 25136354
Snakebite; Chronic kidney disease; Agricultural nephropathy; Epidemiology; Anuria
2.  Acute Myocardial Infarction following a possible direct intravenous bite of Russell’s viper (Daboia russelli) 
BMC Research Notes  2012;5:500.
Background
Russell’s viper (Daboia russelli) bites lead to high morbidity and mortality in South Asia. Although variety of clinical manifestations is reported in viper bite victims, myocardial ischemic events are rare.
Case presentation
We report a unique case of inferior wall ST elevation myocardial infarction due to a Russell’s viper bite over a vein with possible direct intravenous envenoming, in a young male with no past history or family history suggestive of ischemic cardiac disease, from Sri Lanka. In addition, the possible mechanisms of myocardial ischemia in snake bite victims are also briefly discussed.
Conclusion
Importance of the awareness of physicians on the rare, yet fatal manifestations of snake envenoming is highlighted.
doi:10.1186/1756-0500-5-500
PMCID: PMC3490800  PMID: 22971617
Myocardial infarction; Russell’s viper; Intravenous; Sri Lanka

Results 1-2 (2)