TY - JOUR
T1 - Viper bites complicate chronic agrochemical nephropathy in rural Sri Lanka
AU - Silva, Anjana
AU - Samarasinghe, Rivikelum
AU - Pilapitiya, Senaka
AU - Dahanayake, Niroshana
AU - Siribaddana, Sisira
PY - 2014/8/11
Y1 - 2014/8/11
N2 - Snakebite is a common occupational health hazard among Sri Lankan agricultural workers, particularly in the North Central Province. Viperine snakes, mainly Russell's viper envenomation, frequently lead to acute renal failure. During the last two decades, an agrochemical nephropathy, a chronic tubulointerstitial disease has rapidly spread over this area leading to high morbidity and mortality. Most of the epidemiological characteristics of these two conditions overlap, increasing the chances of co-occurrence. Herein, we describe four representative cases of viperine snakebites leading to variable clinical presentations, in patients with chronic agrochemical nephropathy, including two patients presented with acute and delayed anuria. These cases suggest the possibility of unusual manifestations of snakebite in patients with Sri Lankan agrochemical nephropathy, of which the clinicians should be aware. It could be postulated that the existing scenario in the Central America could also lead to similar clinical presentations.
AB - Snakebite is a common occupational health hazard among Sri Lankan agricultural workers, particularly in the North Central Province. Viperine snakes, mainly Russell's viper envenomation, frequently lead to acute renal failure. During the last two decades, an agrochemical nephropathy, a chronic tubulointerstitial disease has rapidly spread over this area leading to high morbidity and mortality. Most of the epidemiological characteristics of these two conditions overlap, increasing the chances of co-occurrence. Herein, we describe four representative cases of viperine snakebites leading to variable clinical presentations, in patients with chronic agrochemical nephropathy, including two patients presented with acute and delayed anuria. These cases suggest the possibility of unusual manifestations of snakebite in patients with Sri Lankan agrochemical nephropathy, of which the clinicians should be aware. It could be postulated that the existing scenario in the Central America could also lead to similar clinical presentations.
KW - Agricultural nephropathy
KW - Anuria
KW - Chronic kidney disease
KW - Epidemiology
KW - Snakebite
UR - http://www.scopus.com/inward/record.url?scp=84927734641&partnerID=8YFLogxK
U2 - 10.1186/1678-9199-20-33
DO - 10.1186/1678-9199-20-33
M3 - Article
AN - SCOPUS:84927734641
VL - 20
JO - Journal of Venomous Animals and Toxins Including Tropical Diseases
JF - Journal of Venomous Animals and Toxins Including Tropical Diseases
SN - 1678-9199
IS - 1
M1 - 33
ER -