Elkabbaj Driss, Hassani Kawtar, El Jaoudi Rachid
Department of Nephrology, Military Hospital Mohammed V, Rabat, Morocco.
Arab J Nephrol Transplant. 2012 Sep;5(3):159-61.
The Saharan horned viper (Cerastes cerastes) is a common snake in the sandy and rocky regions in the south of Morocco. Although nearly all snakes with medical relevance can induce acute renal failure (ARF), it's unusual except with bites by some viper species. ARF has very rarely been reported following Cerastes cerastes bite.
A 55-year-old Moroccan man was bitten on his right hand by a Saharan horned viper, Cerastes cerastes. He presented 24 hours later in a state of confusion, agitation and hypotension with marked swelling of his right hand. Investigations revealed evidence of disseminated intravascular coagulation (DIC) and rhabdomyolysis. The appropriate antivenom was not available. Despite adequate hydration, he developed acute renal failure necessitating prolonged hemodialysis. He subsequently improved and was discharged from the hospital after four weeks with normal renal function.
Although uncommon, the bite of Cerastes cerastes can result in ARF due to DIC and rhabdomyolysis. The appropriate antivenom should be made available in areas where this snake is prevalent.
撒哈拉角蝰（Cerastes cerastes）是摩洛哥南部沙地和岩石地区常见的一种蛇。尽管几乎所有具有医学相关性的蛇都能引发急性肾衰竭（ARF），但除了某些蝰蛇种类的咬伤外，这种情况并不常见。撒哈拉角蝰咬伤后极少有急性肾衰竭的报告。
一名55岁的摩洛哥男子右手被一条撒哈拉角蝰（Cerastes cerastes）咬伤。24小时后，他出现意识模糊、烦躁不安和低血压症状，右手明显肿胀。检查发现有弥散性血管内凝血（DIC）和横纹肌溶解的迹象。当时没有合适的抗蛇毒血清。尽管进行了充分的补液治疗，但他仍发展为急性肾衰竭，需要长期进行血液透析。随后他病情好转，四周后肾功能恢复正常出院。
尽管撒哈拉角蝰咬伤并不常见，但可因弥散性血管内凝血和横纹肌溶解导致急性肾衰竭。在这种蛇类分布广泛的地区，应备有合适的抗蛇毒血清。
