SEVERE RENAL FAILURE FOLLOWING OPHIDIAN ENVENOMATION NIGER

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SEVERE RENAL FAILURE FOLLOWING OPHIDIAN ENVENOMATION NIGER

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Co-author 1

ZEINABOU MAIGA MOUSSA TONDI zeinab_maiga@yahoo.fr Faculty of Health Sciences, Abdou Moumouni University of Niamey Nephrology NIAMEY Niger *

Co-author 2

DJIBRILLA BONKANO BAOUA bbdjibrilla@gmail.com Faculty of Health Sciences, Abdou Moumouni University of Niamey Nephrology NIAMEY Niger -

Co-author 3

MOUSSA DIONGOLE HASSANE diongolen@yahoo.fr Faculty of Health Sciences of Zinder Nephrology ZINDER Niger -

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Introduction

Data on kidney lesions during ophidian envenomation in Niger are rare. The aim of the study was to describe a case of severe renal failure secondary to ophidian envenomation occurring in our hemodialysis nephrology department.

Methods

We conducted a medical observation of a clinical case of poisoning and acute renal failure.

Results

Observation: This is a 53-year-old patient, resident in a rural town near the city of Niamey. She was referred to us from the National Hospital's Internal Medicine Department for severe renal impairment secondary to a snakebite. Clinical examination showed poor general condition, impaired consciousness with a Glasgow 10/15, severe uremic syndrome, hemorrhagic syndrome and metabolic dyspnea. On biology, severe anemia was noted at 5.3 g/dl, thrombocytopenia at 32,000 elements/μl, white blood cells at 18,109/L, urea level at 50 mmol/l and serum creatinine at 1009 μmol/l i.e. an eGFR= 4 ml/min. Despite the initiation of hemodialysis and transfusions, the patient died in a picture of septic and hemorrhagic shock.

Conclusion

ARF secondary to ophidian envenomation is accompanied by a considerable risk of mortality, especially in the event of delay in treatment.

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