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首页> 外文期刊>Clinical kidney journal. >Clinicopathological course of acute kidney injury following brown recluse (Loxoscles reclusa) envenomation
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Clinicopathological course of acute kidney injury following brown recluse (Loxoscles reclusa) envenomation

机译：棕色隐窝（Loxoscles reclusa）毒化后急性肾损伤的临床病理过程

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摘要

We report a case of severe systemic loxoscelism in a previously healthy young man. This was associated with a Coombs-positive hemolytic anemia, striking leukomid reaction, renal failure, respiratory failure and cardiovascular collapse. This is the first documented case of a renal biopsy in a patient with renal failure after envenomation by the brown recluse spider. Associated systemic toxicity usually resolves but requires prompt recognition and supportive care in an intensive care setting. We also discuss the potential mechanism by which the venom of this small spider can lead to multiorgan failure and possibly death.
机译：我们报告了一个以前健康的年轻人严重的系统性骨质疏松症的病例。这与库姆斯阳性溶血性贫血，白细胞酰胺反应，肾衰竭，呼吸衰竭和心血管衰竭有关。这是第一个有记录的棕色活检蜘蛛进行肾脏活检的肾衰竭患者的肾脏活检病例。相关的全身毒性通常可以解决，但在重症监护环境中需要迅速识别和支持治疗。我们还讨论了这种小蜘蛛的毒液可能导致多器官功能衰竭甚至死亡的潜在机制。

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