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锯鳞蝰蛇咬伤后出现急性肾衰竭和急性坏死性胰腺炎,伊朗南部罕见并发症报告

Acute renal failure and acute necrotizing pancreatitis after Echis carinatus sochureki bite, report of a rare complication from southern Iran.

作者信息

Sagheb M M, Sharifian M, Moini M, Salehi O

机构信息

Department of Internal Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Prague Med Rep. 2011;112(1):67-71.

Abstract

Venomous animal bites are a significant health problem for rural populations in many parts of the world. Herein, we report an unusual presentation of Echis carinatus sochureki bite from southern Iran. A 36 year old woman was referred to Shiraz Nemaze Hospital due to anuria, headache, gastrointestinal bleeding, nausea and vomiting and severe abdominal pain after Echis carinatus sochureki bite. According to the clinical and paraclinical evaluations, the patient was admitted with impression of acute renal failure and acute pancreatitis. Acute pancreatitis is a rare complication after snake bite. This article is the first report of acute pancreatitis after Echis carinatus sochureki bite.

摘要

在世界许多地区,有毒动物咬伤对农村人口来说是一个重大的健康问题。在此,我们报告一例来自伊朗南部的锯鳞蝰蛇(Echis carinatus sochureki)咬伤的不寻常病例。一名36岁女性在被锯鳞蝰蛇咬伤后,因无尿、头痛、胃肠道出血、恶心、呕吐及严重腹痛,被转诊至设拉子内马泽医院。根据临床和辅助检查评估,该患者入院时被诊断为急性肾衰竭和急性胰腺炎。急性胰腺炎是蛇咬伤后罕见的并发症。本文是锯鳞蝰蛇咬伤后发生急性胰腺炎的首例报告。

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