Received: August 21, 2006.

Accepted: October 24, 2006.

Abstract published on line: October 27, 2006.

Full paper Published online: November 30, 2006.

RENAL FAILURE AND NEONATAL DEATH FOLLOWING SNAKEBITE DURING PREGNANCY, A CASE REPORT

ADAM G. K. (1), HUSSEIN S. M. (2), ADAM I. (2)

(1) Department of Obstetrics and Gynecology, University of ElGadarif, Sudan; (2) Department of Obstetrics and Gynecology, University of Khartoum, Sudan.

ABSTRACT: A thirty-five-year-old Sudanese woman (gravida 4, para 3), at 34 weeks gestational age, presented with snakebite in her right leg. Examination of the cardiovascular, respiratory, gastrointestinal, and central nervous systems revealed no abnormalities. Her blood urea was 58 mg/dl; creatinine, 2.6 mg/dl; whole blood clotting time, 5:35 minutes. The patient was diagnosed as having acute renal failure and was then managed conservatively. She received polyvalent antivenom serum intravenously. On the next day, she delivered prematurely and the baby passed away due to respiratory distress. There was no postpartum bleeding and the patient’s clotting time was 5:30 minutes. She was discharged from the hospital after 7 days when her clinical, biochemical and hematological parameters returned to normal values without dialysis.

KEY WORDS: snake, renal, pregnancy, perinatal, Sudan.

CORRESPONDENCE TO:

ISHAG ADAM, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Khartoum, P.O. Box 102, Sudan. Phone: +249 91216 8988. Fax +249 18322 4799. Email: ishagadam@hotmail.com.