Acute interstitial nephritis following viper bite: a rare association.

Abstract

Snake bite is a common cause of morbidity and mortality in rural India, accounting for an annual age-standardized mortality rate of 4.1/100 000 to 5.4/100 000, depending on the geographic location [1]. Renal failure is common following a viperidine bite; the majority of the patients develop acute tubular necrosis and a lesser number may develop cortical necrosis. Renal lesions apart from acute tubular necrosis and cortical necrosis are not well characterized in hemotoxic snake envenomation. Acute interstitial nephritis in the setting of hemotoxic envenomation is rare.