Introduction: Data on kidney lesions during ophidian envenomation in Niger are rare. The aim of the study was to describe a case of severe renal failure secondary to ophidian envenomation occurring in our hemodialysis nephrology department. Observation: This is a 53-year-old patient, resident in a rural town near the city of Niamey. She was referred to us from the National Hospital's Internal Medicine Department for severe renal impairment secondary to a snakebite. Clinical examination showed poor general condition, impaired consciousness with a Glasgow 10/15, severe uremic syndrome, hemorrhagic syndrome and metabolic dyspnea. On biology, severe anemia was noted at 5.3 g/dl, thrombocytopenia at 32,000 elements/µl, white blood cells at 18,109/L, urea level at 50 mmol/l and serum creatinine at 1009 µmol/l i.e. an eGFR= 4 ml/min. Despite the initiation of hemodialysis and transfusions, the patient died in a picture of septic and hemorrhagic shock. Conclusion: ARF secondary to ophidian envenomation is accompanied by a considerable risk of mortality, especially in the event of delay in treatment.
Introduction: Conception on chronic hemodialysis (CHD) is a rare and high-risk maternal--fetal event. We report on the first case of pregnancy with birth of a live child in our hemodialysis center in Kaolack (Senegal). Observation: A 35-year-old woman had been on chronic hemodialysis for 18 months. Amenorrhea (AS) was identified at week 22 of pregnancy. Control of blood pressure, dry weight, an acceptable hemoglobin level, and intensification of dialysis sessions, enabled a natural delivery at 32 weeks of a live newborn weighing 1200g. Conclusion: Close collaboration between nephrologists, obstetricians, neonatologists, and nutritionists determined the success of pregnancy with CHD.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.