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Case Reports in Nephrology
Volume 2017, Article ID 1348749, 3 pages
Case Report

Snakebite Induced Thrombotic Microangiopathy Leading to Renal Cortical Necrosis

1Renal Department, Royal Preston Hospital, Preston, UK
2Renal Department, Velammal Medical College Hospital, Madurai, India

Correspondence should be addressed to Arvind Ponnusamy; ku.shn.rthtl@ymasunnop.dnivra

Received 28 May 2017; Accepted 16 July 2017; Published 13 August 2017

Academic Editor: Yoshihide Fujigaki

Copyright © 2017 Ying Mao Gn et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Renal complications from snakebite result in high mortality and morbidity. Acute kidney injury (AKI) occurs in 5–30% of cases. Renal manifestation could include acute tubular necrosis, cortical necrosis, interstitial nephritis, glomerulonephritis, and vasculitis. We present a case of thrombotic microangiopathy (TMA) resulting in renal cortical necrosis. Renal biopsy showed fibrin thrombi in glomeruli and arterioles with cortical necrosis. Our patient progressed to end-stage renal disease.