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Acute renal failure with prolonged oliguria was observed in a patient following the bite of a Russell's viper (Vipera russellii siamensis). Renal biopsy revealed interstitial nephritis in addition to tubular necrosis and mesangial proliferation usually noted. There was no deposition of immunoglobulins. The finding expands the spectrum of renal changes in snake bite.
Accepted for publication September 2, 1981.
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