Viper bites complicate chronic agrochemical nephropathy in rural Sri Lanka

Autor: Silva, Anjana, Samarasinghe, Rivikelum, Pilapitiya, Senaka, Dahanayake, Niroshana, Siribaddana, Sisira
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Journal of Venomous Animals and Toxins including Tropical Diseases v.20 2014
The Journal of venomous animals and toxins including tropical diseases
Universidade Estadual Paulista (UNESP)
instacron:UNESP
Journal of Venomous Animals and Toxins including Tropical Diseases, Volume: 20, Article number: 33, Published: 02 SEP 2014
Popis: 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.
Databáze: OpenAIRE