Citation

Valavi E, Ansari MJ, Hoseini S. Saudi J. Kidney Dis. Transpl. 2011; 22(4): 792-795.

Affiliation

Department of Nephrology, Jundishapur University of Medical Sciences, Ahvaz, Iran.

Copyright

(Copyright © 2011, Saudi Center for Organ Transplantation, Publisher Medknow Publications)

DOI

unavailable

PMID

21743232

Abstract

Hemiscorpius lepturus is a lethal scorpion with potentially cytotoxic venom. Various degrees of local and systemic toxicity have been observed after its envenomation ranging from local erythema to disseminated intravascular coagulation, renal failure and severe pulmonary hemorrhage. In this case report, we report on a seven-year-old patient who developed the hemolytic uremic syndrome (HUS) after being stung by the scorpion H. lepturus. This condition is characterized by microangiopathic hemolytic anemia, thrombocytopenia, increased serum levels of lactate dehydrogenase and uremia. We evaluated the causes of HUS and found that the levels of C3, C4, CH50 and H factors were normal, but the activity of Von Willebrand factor cleaving protease was decreased (less than 5% of the normal activity). The patient improved after administering therapy with plasma exchange.

Language: en