Home > Journals > Indian Journal of Emergency Medicine

Indian Journal of Emergency Medicine

Submit your article Read this Journals View all journals
Full Text (PDF)
Case Report

Bilateral Renal Cortical Necrosis following Snake Envenomation: A Comprehensive Case Report and Analysis of the Underlying Pathophysiological Mechanisms and Treatment Approaches

Shabbir Shekhli, Vijay Kumar SS, Anila Jose

Author Information

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator

Indian Journal of Emergency Medicine 9(4):p 215-218, October-December 2023. | DOI: 10.21088/ijem.2395.311X.9423.9

How Cite This Article:

Vijay Kumar SS, Shekhli S, Jose A. Bilateral renal cortical necrosis following snake envenomation: a comprehensive case report and analysis of the underlying mechanisms and treatment approaches. Indian J Emerg Med. 2023;9(4):215–8.

Timeline

Received : April 01, 2023         Accepted : May 31, 2023          Published : June 09, 2023

Abstract

Acute bilateral renal cortical necrosis (RCN) is a rare but potentially lethal form of renal injury that poses a diagnostic and therapeutic challenge for clinicians. The causes of renal cortical necrosis are multi-factorial. Renal cortical necrosis shows a higher incidence in men than women in non-obstetric cases, and its clinical presentation is heterogeneous, ranging from asymptomatic to severe renal failure. In this case report, we describe the clinical course of a patient who presented with acute renal failure following a venomous snake bite and was subsequently diagnosed with renal cortical necrosis. Despite aggressive management, the patient ultimately succumbed to death on the 24th day of admission. The present case highlights the importance of early diagnosis, prompt initiation of appropriate management, and effective prevention of complications in patients with renal cortical necrosis to improve patient outcomes and reduce morbidity and mortality. A timely and accurate diagnosis of renal cortical necrosis is critical for initiating appropriate interventions, and management should aim to address the underlying cause and prevent potential complications.
 

References

  • 1.   Prakash J, Tripathi K, Pandey L, Sahai S, Usha, Srivastava P. Spectrum of renal cortical necrosis in acute renal failure in eastern India. Postgrad Med J. 1995;71(834):208-10.
  • 2.   Sahay M, Swarnalata, Swain M, Padua M. Renal cortical necrosis in tropics. Saudi J Kidney Dis Transpl. 2013;24(4):725.
  • 3.   Indraprasit S, Boonpucknavig V. Acute interstitial nephritis after a Russell’s viper snake bite. Clin Nephrol. 1986;25(3):111.
  • 4.   Kasturiratne A, Wickremasinghe AR, De Silva N, Gunawardena NK, Pathmeswaran A, Premaratna R, et al. The global burden of snakebite: A literature analysis and modelling based on regional estimates of envenoming and deaths. PLoS Med. 2008 Nov 4;5(11):e218.
  • 5.   Ahmed S, Nadeem A, Islam M, Agarwal S, Singh L. Retrospective analysis of snake victims in Northern India admitted in a tertiary level institute. J Anaesthesiol Clin Pharmacol. 2012;28(1):45.
  • 6.   Juhel-Renoy E. De l'annurie precoce scarletinuese. Arch Gen Med. 1886;1:385.
  • 7.   Shastry JCM, Date A, Carman RH, Johny KV. Renal failure following snake bite. Am J Trop Med Hyg. 1977;26(5):1032–8.
  • 8.   Ramachandran S, Perera MV. Survival in renal cortical necrosis due to snake bite. Postgrad Med J. 1974;50(583):314–6.

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

Information not provided.

Conflicts of Interest

The authors report no conflicts of interest in this work.

About this article

Cite this article

Vijay Kumar SS, Shekhli S, Jose A. Bilateral renal cortical necrosis following snake envenomation: a comprehensive case report and analysis of the underlying mechanisms and treatment approaches. Indian J Emerg Med. 2023;9(4):215–8.

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator

Received Accepted Published
April 01, 2023 May 31, 2023 June 09, 2023
DOI: 10.21088/ijem.2395.311X.9423.9

Keywords

Snake BiteRhabdomyolysisAcute Kidney InjuryEmergency Medicine

Article Level Metrics

Last Updated

Tuesday 07 July 2026, 11:40:59 (IST)

2530

Accesses

6
890
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received April 01, 2023
Accepted May 31, 2023
Published June 09, 2023

licence

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator


Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share