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Anuric renal failure in a dog after red-bellied black snake (Pseudechis porphyriacus) envenomation.
Aust Vet J. 2006 May; 84(5):158-62.AV

Abstract

A case of Red-bellied Black snake envenomation resulting in intravascular haemolytic anaemia, rhabdomyolysis and anuric renal failure is described in the dog. A 12-year-old female desexed Golden Retriever was presented with a 15 hour history of profuse salivation, progressive lethargy, obtundence, inappetence and collapse. Significant findings on clinical examination were pallor, icterus, tachypnoea and dyspnoea with increased respiratory sounds and crackles in all lung fields. Generalised abdominal and muscular pain was apparent and dark red-brown urine was present around the perineal region. A diagnosis of Red-bellied Black snake (Pseudechis porphyriacus) envenomation was made and the dog was treated with intravenous fluid therapy, Tiger/Brown snake antivenom, packed red cell transfusions and Intermittent Positive Pressure Ventilation. Continued clinical deterioration occurred and a diagnosis of acute renal failure secondary to myohaemoglobinuric pigmenturia was made 12 hours after admission. Intensive treatment was attempted with diuresis and volume expansion. Oliguria and subsequent anuria ensued and the dog was euthanased due to a grave prognosis and lack of clinical response to treatment. Necropsy examination revealed muscular necrosis, accumulation of fluid in the thoracic and peritoneal cavities, and marked renal tubular necrosis with intraluminal occlusion secondary to pigmentary casts.

Authors+Show Affiliations

University Veterinary Centre, Camden, Faculty of Veterinary Medicine, University of Sydney, PMB 4 Narellan Delivery Centre, Narellan, New South Wales, 2567, Australia. J.Heller@vet.gla.ac.ukNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16739524

Citation

Heller, J, et al. "Anuric Renal Failure in a Dog After Red-bellied Black Snake (Pseudechis Porphyriacus) Envenomation." Australian Veterinary Journal, vol. 84, no. 5, 2006, pp. 158-62.
Heller J, Bosward KL, Hodgson DR, et al. Anuric renal failure in a dog after red-bellied black snake (Pseudechis porphyriacus) envenomation. Aust Vet J. 2006;84(5):158-62.
Heller, J., Bosward, K. L., Hodgson, D. R., & Pottie, R. (2006). Anuric renal failure in a dog after red-bellied black snake (Pseudechis porphyriacus) envenomation. Australian Veterinary Journal, 84(5), 158-62.
Heller J, et al. Anuric Renal Failure in a Dog After Red-bellied Black Snake (Pseudechis Porphyriacus) Envenomation. Aust Vet J. 2006;84(5):158-62. PubMed PMID: 16739524.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anuric renal failure in a dog after red-bellied black snake (Pseudechis porphyriacus) envenomation. AU - Heller,J, AU - Bosward,K L, AU - Hodgson,D R, AU - Pottie,R, PY - 2006/6/3/pubmed PY - 2006/6/16/medline PY - 2006/6/3/entrez SP - 158 EP - 62 JF - Australian veterinary journal JO - Aust. Vet. J. VL - 84 IS - 5 N2 - A case of Red-bellied Black snake envenomation resulting in intravascular haemolytic anaemia, rhabdomyolysis and anuric renal failure is described in the dog. A 12-year-old female desexed Golden Retriever was presented with a 15 hour history of profuse salivation, progressive lethargy, obtundence, inappetence and collapse. Significant findings on clinical examination were pallor, icterus, tachypnoea and dyspnoea with increased respiratory sounds and crackles in all lung fields. Generalised abdominal and muscular pain was apparent and dark red-brown urine was present around the perineal region. A diagnosis of Red-bellied Black snake (Pseudechis porphyriacus) envenomation was made and the dog was treated with intravenous fluid therapy, Tiger/Brown snake antivenom, packed red cell transfusions and Intermittent Positive Pressure Ventilation. Continued clinical deterioration occurred and a diagnosis of acute renal failure secondary to myohaemoglobinuric pigmenturia was made 12 hours after admission. Intensive treatment was attempted with diuresis and volume expansion. Oliguria and subsequent anuria ensued and the dog was euthanased due to a grave prognosis and lack of clinical response to treatment. Necropsy examination revealed muscular necrosis, accumulation of fluid in the thoracic and peritoneal cavities, and marked renal tubular necrosis with intraluminal occlusion secondary to pigmentary casts. SN - 0005-0423 UR - https://www.unboundmedicine.com/medline/citation/16739524/Anuric_renal_failure_in_a_dog_after_red_bellied_black_snake__Pseudechis_porphyriacus__envenomation_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0005-0423&date=2006&volume=84&issue=5&spage=158 DB - PRIME DP - Unbound Medicine ER -