儿童蛇咬伤所致肾髓质血管炎：一例报告

Snake bite-induced renal medullary angitiis in a child: A case report.

作者信息

Dawman Lesa, Sekar Aravind, Varma Tandra Harish, Nada Ritambhra, Tiewsoh Karalanglin

机构信息

Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Saudi J Kidney Dis Transpl. 2019 Jan-Feb;30(1):231-234.

PMID:30804287

Abstract

Snake bite envenomation is common in tropical countries during the summer. Snake bite-induced acute kidney injury (AKI) has varied histopathological manifestations such as acute cortical necrosis, acute tubular necrosis (ATN), and acute interstitial nephritis. However, snake bite-induced renal medullary angiitis has rarely been reported. We describe a nine-year-old child with AKI following viperine snake bite and renal biopsy revealed pigment cast nephropathy, ATN and medullary angiitis.

摘要

蛇咬伤中毒在热带国家的夏季很常见。蛇咬伤所致急性肾损伤（AKI）有多种组织病理学表现，如急性皮质坏死、急性肾小管坏死（ATN）和急性间质性肾炎。然而，蛇咬伤所致肾髓质血管炎鲜有报道。我们描述了一名9岁儿童，在被蝰蛇咬伤后发生AKI，肾活检显示色素管型肾病、ATN和髓质血管炎。