Mamushi bites in a kidney transplant recipient.
Mamushi bites in a kidney transplant recipient.
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毒蛇咬伤是日本最常见的毒蛇咬伤。常见的马蝇咬伤的临床过程是已知的，其令人震惊的并发症和死亡原因是由于毒液引起的急性肾衰竭。然而，关于肾移植受者马蝇咬伤的报道缺乏，临床过程尚不清楚。66岁男性肾移植术后3年被马蝇咬伤。与典型的马蝇咬伤过程相似，他的严重程度在咬伤后3天逐渐恶化至高峰，之后他轻微翻身。给予足量输注并持续使用免疫抑制药物以避免急性肾功能衰竭。即使马蝇咬伤发生在肾移植受者身上，治疗过程和处理方法也可以像往常一样，继续使用免疫抑制药物和足够量的输注。
Mamushi bites are the most common venomous snakebites in Japan. The clinical course of a common mamushi bite is known, and its alarming complication and cause of death are acute renal failure due to the venom. However, reports of mamushi bites in kidney transplant recipients are lacking, and the clinical course is unknown. A 66‐year‐old man who was bitten by a mamushi 3 years after kidney transplantation. Similar to the course of a typical mamushi bite, his severity gradually worsened to its peak 3 days after the bite, after which he turned lightly. A sufficient amount of infusion and continued immunosuppressive drugs were used to avoid acute renal failure. Even if the mamushi bite occurs in a kidney transplant recipient, the course and management may be the same as usual by continuing the immunosuppressive drugs and a sufficient amount of infusion.