Internal medicine journal

The most recent articles from: August 2007

  • Internal medicine journal · Aug 2007

    Case Reports Multicenter Study

    Thrombotic microangiopathy from Australian brown snake (Pseudonaja) envenoming.

    Australian brown snake (genus Pseudonaja) envenoming causes a venom-induced consumptive coagulopathy (VICC). A proportion of cases go on to develop thrombotic microangiopathy characterized by thrombocytopenia, microangiopathic haemolytic anaemia (MAHA) and acute renal failure (ARF). ⋯ Thrombotic microangiopathy resulting from brown snake bite appears to have a good prognosis and management should focus on early antivenom therapy and supportive care including dialysis. The role of plasmapheresis is yet to be defined.

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