Russell’s Viper Envenomation-associated Acute Kidney Injury in Children in Southern India.
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Date
2015-07
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Abstract
Objectives: To determine the frequency and risk factors of acute kidney injury in children with
Russell’s viper envenomation using Acute Kidney Injury Network definition and classification
system.
Methods: A prospective observational study recruiting 61 subjects managed as per the
National Snakebite Protocol.
Results: 45.9% of envenomed children had acute kidney injury. The median (IQR) of the
maximum serum creatinine level during hospitalization was 2 (1.3-4.8) mg/dL. The
distribution of stages 1, 2 and 3 of acute kidney injury was 32.1%, 17.9% and 50%
respectively. Dialysis was required in 35.7% of the children with acute kidney injury.
Conclusions: Acute kidney injury is common with Russell’s viper envenomation. Native
treatments and bleeding manifestations were associated with acute kidney injury in our
patient population.
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Keywords
Bleeding, Complications, Management, Outcome, Snakebite
Citation
Krishnamurthy Sriram, Gunasekaran Kuralvanan, Mahadevan Subramanian, Bobby Zachariah, Kumar Ajith Prabhu. Russell’s Viper Envenomation-associated Acute Kidney Injury in Children in Southern India. Indian Pediatrics. 2015 July; 52(7): 583-586.