Vikrant Sanjay, Parashar Anupam
Department of Nephrology, Indira Gandhi Medical College, Shimla, India.
Department of Community Medicine, Indira Gandhi Medical College, Shimla, India.
Am J Trop Med Hyg. 2017 Apr;96(4):885-886. doi: 10.4269/ajtmh.17-0007. Epub 2017 Feb 6.
AbstractSnake bite is an important health hazard in tropics. Snake envenomation in pregnancy may cause fetal death and maternal mortality or morbidity. However, little is known about the toxic effects and optimal management during pregnancy after snake envenomation because of the rarity of cases. Herein, we report a case of a pregnant woman who was successfully treated for snake bite-induced acute kidney injury during the third trimester. She was treated with equine-derived polyvalent anti-snake venom without development of any adverse effects, hemodialysis, and supportive therapy. She fully recovered and subsequently gave birth to a healthy child.
摘要
蛇咬伤是热带地区一项重要的健康危害。妊娠期蛇毒中毒可能导致胎儿死亡以及孕产妇死亡或发病。然而,由于病例罕见,对于妊娠期蛇毒中毒后的毒性作用及最佳治疗方法知之甚少。在此,我们报告一例在妊娠晚期因蛇咬伤导致急性肾损伤而成功接受治疗的孕妇病例。她接受了马源性多价抗蛇毒血清治疗,未出现任何不良反应,还接受了血液透析及支持性治疗。她完全康复,随后产下一名健康婴儿。