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Bilateral Renal Cortical Necrosis following Snake Envenomation: A Comprehensive Case Report and Analysis of the Underlying Pathophysiological Mechanisms and Treatment Approaches

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Title: Bilateral Renal Cortical Necrosis following Snake Envenomation: A Comprehensive Case Report and Analysis of the Underlying Pathophysiological Mechanisms and Treatment Approaches
Authors: Vijay Kumar SS, Shabbir Shekhli, Anila Jose
Source: Indian Journal of Emergency Medicine. 9:215-218
Publisher Information: Red Flower Publication Private, Ltd., 2023.
Publication Year: 2023
Subject Terms: 0502 economics and business, 05 social sciences, 0503 education, 3. Good health
Description: Acute bilateral renal cortical necrosis (RCN) is a rare but potentially lethal form of renal injury that poses a diagnostic and therapeutic challenge for clinicians. The causes of renal cortical necrosis are multi-factorial. Renal cortical necrosis shows a higher incidence in men than women in non-obstetric cases, and its clinical presentation is heterogeneous, ranging from asymptomatic to severe renal failure. In this case report, we describe the clinical course of a patient who presented with acute renal failure following a venomous snake bite and was subsequently diagnosed with renal cortical necrosis. Despite aggressive management, the patient ultimately succumbed to death on the 24th day of admission. The present case highlights the importance of early diagnosis, prompt initiation of appropriate management, and effective prevention of complications in patients with renal cortical necrosis to improve patient outcomes and reduce morbidity and mortality. A timely and accurate diagnosis of renal cortical necrosis is critical for initiating appropriate interventions, and management should aim to address the underlying cause and prevent potential complications.
Document Type: Article
ISSN: 2455-8370
2395-311X
DOI: 10.21088/ijem.2395.311x.9423.9
Accession Number: edsair.doi...........7a9f23d656986904c69f06770b3bb11b
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  Data: Bilateral Renal Cortical Necrosis following Snake Envenomation: A Comprehensive Case Report and Analysis of the Underlying Pathophysiological Mechanisms and Treatment Approaches
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  Data: <searchLink fieldCode="AR" term="%22Vijay+Kumar+SS%22">Vijay Kumar SS</searchLink><br /><searchLink fieldCode="AR" term="%22Shabbir+Shekhli%22">Shabbir Shekhli</searchLink><br /><searchLink fieldCode="AR" term="%22Anila+Jose%22">Anila Jose</searchLink>
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  Data: <i>Indian Journal of Emergency Medicine</i>. 9:215-218
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  Data: Red Flower Publication Private, Ltd., 2023.
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  Label: Description
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  Data: Acute bilateral renal cortical necrosis (RCN) is a rare but potentially lethal form of renal injury that poses a diagnostic and therapeutic challenge for clinicians. The causes of renal cortical necrosis are multi-factorial. Renal cortical necrosis shows a higher incidence in men than women in non-obstetric cases, and its clinical presentation is heterogeneous, ranging from asymptomatic to severe renal failure. In this case report, we describe the clinical course of a patient who presented with acute renal failure following a venomous snake bite and was subsequently diagnosed with renal cortical necrosis. Despite aggressive management, the patient ultimately succumbed to death on the 24th day of admission. The present case highlights the importance of early diagnosis, prompt initiation of appropriate management, and effective prevention of complications in patients with renal cortical necrosis to improve patient outcomes and reduce morbidity and mortality. A timely and accurate diagnosis of renal cortical necrosis is critical for initiating appropriate interventions, and management should aim to address the underlying cause and prevent potential complications.
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