Reading: Thrombotic microangiopathy in Hump nosed viper ‘Hypnale’ envenomation

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Thrombotic microangiopathy in Hump nosed viper ‘Hypnale’ envenomation

Authors:

W. K. M. N. Perera Wanniarachchi,

Colombo South Teaching Hospital, Kalubowila, LK
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Selladurai Pirasath ,

Colombo South Teaching Hospital, Kalubowila, LK
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M. Pemasiri,

Colombo South Teaching Hospital, Kalubowila, LK
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A. Gamarallage,

Colombo South Teaching Hospital, Kalubowila, LK
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A. G. H. Sugathapala,

Colombo South Teaching Hospital, Kalubowila, LK
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U. Nettikumara

Colombo South Teaching Hospital, Kalubowila, LK
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Abstract

Hump-nosed viper (HNV) which compromises ‘Hypnale hypnale’, ‘H. zara’ and ‘H. nepa’ is recognized as a highly venomous snake and ‘H. zara’ and ‘H. nepa’ are the commonest cause of snakebite envenoming in Sri Lanka. It has been earlier identified as resulting in only minor or local envenoming whereas, now known to cause serious systemic toxicity and fatalities. Here we report a case of 62 year old female presented with Hump-nosed viper bite who developed Microangiopathic Haemolytic anaemia (MAHA) and Acute Kidney Injury (AKI) which recovered spontaneously without residual renal or haematological abnormalities.
How to Cite: Perera Wanniarachchi WKMN, Pirasath S, Pemasiri M, Gamarallage A, Sugathapala AGH, Nettikumara U. Thrombotic microangiopathy in Hump nosed viper ‘Hypnale’ envenomation. Jaffna Medical Journal. 2021;33(1):46–9. DOI: http://doi.org/10.4038/jmj.v33i1.124
Published on 11 Aug 2021.
Peer Reviewed

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