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Case Report

Venom Induced Toxic Ventriculitis Resulting in Acute Reversible Communicating Internal Hydrocephalus, Acute Pituitary Haemorrhage, Acute Hypopituitarism, Acute Kidney Injury, Septicaemia, Cellulitis and DIC Due to Viper Bite in a Young Farmer: A Case Report

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Open Access
Article Type Case Report
Subject Biology Group
OCLC 9227632559
Khin Phyu Pyar*, Soe Win Hlaing, Aung Aung, Zar Ni Htet Aung, Nyan Lin Maung, Kaung Myat, Lay Maung Maung, Ye Min Hein, Lynn Htet Aung, Chan Pyae Aung, Kyaw Thuyein Lwin, Min Aung Hein, Moe Tun Zaw, Myo Maung Maung, Aung Phyoe Kyaw, Thein Soe Tun and Win Myint
Issue: Volume2-Issue8
Pages: 654-659
Received: 2021-07-20
Accepted: 2021-08-05
Published: 2021-08-06

Abstract

A young farmer, tenth standard student, helping his grandfather during holiday, developed anuria after viper bite. Because of headache, non-enhanced CT scan head was done on admission which showed a small pituitary haemorrhage with normal ventricles. Later, he had generalized fits and second non-enhanced CT scan head was repeated which revealed a small pituitary haemorrhage with dilated ventricles. He also had acute kidney injury, septicaemia, cellulitis and DIC. The serum level of TSH, free T3 & free T4 were low; thus, replacement was done. Cerebrospinal fluid study (protein, sugar, cells) including culture was normal. Renal replacement therapy (haemodialysis), platelets transfusion and antibiotics were given. He had torrential polyuria (urine output 12 liter per day) when he recovered from renal failure and it improved dramatically with desmopressin replacement. There was improvement in third non-enhanced CT scan head and fourth one was consistent with normal ventricle and reduction in size of pituitary haemorrhage.

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© 2021 Pyar KP, et al. Distributed under Creative Commons CC-BY 4.0 Creative CommonsAttribution

How to cite this article

Pyar KP, Hlaing SW, Aung A, Htet Aung ZN, Maung NL, Myat K, Maung LM, Ye Hein M, Aung LH, Aung CP, Lwin KT, Hein MA, Zaw MT, Maung MM, Kyaw AP, Tun TS, Myint W. Venom Induced Toxic Ventriculitis Resulting in Acute Reversible Communicating Internal Hydrocephalus, Acute Pituitary Haemorrhage, Acute Hypopituitarism, Acute Kidney Injury, Septicaemia, Cellulitis and DIC Due to Viper Bite in a Young Farmer: A Case Report. J Biomed Res Environ Sci. 2021 Aug 06; 2(8): 654-659. doi: 10.37871/jbres1293, Article ID: JBRES1293, Available at: https://www.jelsciences.com/articles/jbres1293.pdf

Subject area(s)

MicrobiologyBiologyVirology

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