International Journal of Medical Toxicology & Legal Medicine
  • Year: 2022
  • Volume: 25
  • Issue: 1and2

Acute kidney injury and outcomes in snakebite envenomation cases

  • Author:
  • Pratibha Singh1,*, Raja Rupani2, Mousami Singh3, K.K. Salwani4, Anoop Kr Verma5
  • Total Page Count: 5
  • Page Number: 119 to 123

1Assistant Professor, Department of Forensic Medicine & Toxicology, SMMH Medical College, Saharanpur

2Additional Professor, Department of Forensic Medicine and Toxicology, King George's Medical University, Lucknow.

3Additional Professor, Department of Forensic Medicine and Toxicology, King George's Medical University, Lucknow.

4Professor,Department of Medicine, King George's Medical University, Lucknow

5Professor & Head, Department of Forensic Medicine and Toxicology, King George's Medical University, Lucknow

*Corresponding Author: Dr. Pratibha Singh, Assistant Professor, Department of Forensic Medicine & Toxicology, SMMH Medical College, Saharanpur

Online published on 2 November, 2022.

Abstract

Renal injury is the vasculotoxic complication in case of snakebite cases.In Tropical countries,it is the commonest cause of mortality and morbidity in snakebite cases.This study includes observation of all the clinical parameters related to vascular injuries including acute kidney injury(AKI) and other associated complications.

Setting & Design: This is a Prospective observational study conducted in tertiary care hospital.

Material & Method: Consecutive cases admitted for snake bite envenomation were studied for presence of neurological and vasculotoxic symptoms. These were studied for various parameters like hospital stay, acute kidney injury, mortality rate etc. Anova followed by Post hoc analysis was done for statistical analysis.

Results: 18.52% cases out of 108 studied had vasculotoxicity. Prevalence of AKI in these patients was 92.86%. Overall mortality rate was about 5.56%. while it was 7.14% in vasculotoxic cases. The Mortality rate was highest i.e. 33.33% among those who had both vasculotoxic as well as neurotoxic symptoms.

Keywords

AKI, Vasculotoxicity, Neurotoxicity, Snakebite