Abstract
Ceylon Medical Journal (CMJ) is a peer-reviewed, open access journal published quarterly by the Sri Lanka Medical Association in the last week of March, June, September and December each year. The mission of the CMJ is to promote the science and art of medicine and betterment of public health. The Journal publishes original papers and commentaries which have relevance to medicine and allied sciences. The CMJ is committed to maintaining and conforming to the editorial and ethical standards recommended by the International Committee of Medical Journal Editors.
Highlights
Thrombotic microangipathy (TMA), though uncommon, is a recognized complication of snake envenoming [1]. It comprises of the triad of microangiopathic haemolytic anaemia, thrombocytopenia and acute renal failure [1]
Association of TMA with Russell’s viper (Daboia russelii) envenoming had not been clearly defined except in a publication in 1975 in India which described manifestations of TMA in 5 patients [3]. It appears that TMA is a rare manifestation of Russell’s viper bite, despite the fact that its bites are common in Sri Lanka [4]
We present a patient with severe anaemia, thrombocytopenia and mild acute renal failure after Russell’s viper bite in Kandy district suggestive of TMA
Summary
Thrombotic microangipathy (TMA), though uncommon, is a recognized complication of snake envenoming [1]. It comprises of the triad of microangiopathic haemolytic anaemia, thrombocytopenia and acute renal failure [1]. Association of TMA with Russell’s viper (Daboia russelii) envenoming had not been clearly defined except in a publication in 1975 in India which described manifestations of TMA in 5 patients [3]. It appears that TMA is a rare manifestation of Russell’s viper bite, despite the fact that its bites are common in Sri Lanka [4]. We present a patient with severe anaemia, thrombocytopenia and mild acute renal failure after Russell’s viper bite in Kandy district suggestive of TMA
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