Citation

Waikhom R, Sircar D, Patil K, Bennikal M, Gupta SD, Pandey R. Ren. Fail. 2012; 34(3): 271-274.

Affiliation

Department of Nephrology, Institute of Post Graduate Medical Education and Research (IPGMER), SSKM Hospital , Kolkata , India.

Copyright

(Copyright © 2012, Informa - Taylor and Francis Group)

DOI

10.3109/0886022X.2011.647297

PMID

22260154

Abstract

Background: Snake bite can cause acute kidney injury (AKI) through multiple mechanisms. Many of these patients have severe kidney injury requiring renal replacement therapy. The long-term outcome of survivors of such severe AKI is not known. Methods: We prospectively followed up 60 patients who developed dialysis-requiring severe AKI following snake bite and had survived the hospital stay. Results: A total of 25 (41%) patients showed persistent renal involvement in the form of renal dysfunction, proteinuria, or hypertension at a mean period of follow-up of 45 months. Totally 5% of the patients progressed to end-stage renal disease (ESRD) while 20% had glomerular filtration rate (GFR) <45 mL/min. Conclusions: Long-term outcome of snake bite and AKI is not benign with a significant percentage of patients continuing to have features of persistent renal damage.

Language: en