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To bite the hand that feeds you: A case of thrombotic microangiopathy due to Tiger snake bite

William Hughes1, Susan Blair2, Hannah Rose3

  • 1Department of General Medicine, Barwon Health University Hospital Geelong, Geelong, Victoria, Australia.

Nephrology (Carlton, Vic.)
|April 10, 2024
PubMed

This report details the case of a 51-year-old man with a Tiger snake bite who developed systemic envenomation, coagulopathy and thrombotic microangiopathy (TMA) requiring renal replacement therapy. He received plasma exchange as additional therapy while awaiting confirmation of the cause of the TMA. We discuss clinical decision making in detection of systemic envenomation and management of the rare complication of TMA, as well as current Australian guidelines around antivenom administration. This is the fourth known documented case of TMA from a Tiger snake bite in Australia.

Keywords:
acute renal failure (ARF)plasmapheresissnake envenomationthrombotic microangiopathyvenom induced consumptive coagulopathy

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