Open AccessMamushi bites in a kidney transplant recipient
Author(s) -
Ando Tadasuke,
Nakashima Syunsuke,
Abe Satoki,
Watanabe Dai,
Iwasaki Kazunori,
Shinohara Mayuka,
Kai Tomoki,
Hata Shinro,
Shibuya Tadamasa,
Shin Toshitaka
Publication year - 2022
Publication title -
iju case reports
Language(s) - English
Resource type - Journals
ISSN - 2577-171X
DOI - 10.1002/iju5.12460
Subject(s) - medicine , kidney transplantation , complication , kidney , snake bites , transplantation , venom , acute kidney injury , intensive care medicine , surgery , envenomation , biology , ecology
Introduction Mamushi bites are the most common venomous snakebites in Japan. The clinical course of a common mamushi bite is known, and its alarming complication and cause of death are acute renal failure due to the venom. However, reports of mamushi bites in kidney transplant recipients are lacking, and the clinical course is unknown. Case presentation A 66‐year‐old man who was bitten by a mamushi 3 years after kidney transplantation. Similar to the course of a typical mamushi bite, his severity gradually worsened to its peak 3 days after the bite, after which he turned lightly. A sufficient amount of infusion and continued immunosuppressive drugs were used to avoid acute renal failure. Conclusion Even if the mamushi bite occurs in a kidney transplant recipient, the course and management may be the same as usual by continuing the immunosuppressive drugs and a sufficient amount of infusion.