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

Author:

Hughes William1ORCID,Blair Susan2,Rose Hannah3

Affiliation:

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

2. Department of Nephrology Barwon Health University Hospital Geelong Geelong Victoria Australia

3. Department of Haematology Barwon Health University Hospital Geelong Geelong Victoria Australia

Abstract

AbstractThis 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.

Publisher

Wiley

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