Acute Interstitial Nephritis in Snake Bite

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  • Department of Medicine, Chulalongkorn Hospital Medical School, Bangkok, Thailand

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.