Sinus bradycardia and acute renal injury secondary to Viperidae snakebite: first case report Article Swipe

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Elías David Guamán Charco , Anabel Paredes-Ponce , Hugo Orellana-Chimbay , Nelson Omares , Genesis Guamán-Charco , Mario Rubio , Jorge Vásconez-González , Esteban Ortíz-Prado ·

YOU? · · 2025 · Open Access · · DOI: https://doi.org/10.3389/fmed.2025.1600067

Background Worldwide, millions of people suffer from snakebites every year. In Ecuador, as of epidemiological week 30 of 2024, approximately 271 cases have been reported. Clinical case A 54-year-old male patient suffered a snakebite from the Viperidae family 24 h ago, on his right upper limb. Classified as moderate envenomation, he was given antivenom and admitted to the hospital. During his stay, he began to show clinical and paraclinical alterations, including sinus bradycardia on the electrocardiogram and acute renal injury, requiring dialysis therapy sessions. In daily ECG controls on day 13, the heart rate normalized. However, after day 22, he was discharged but remained under triweekly dialysis therapy. Conclusion Complications from snakebites are rare, both cardiovascular and renal, but can be potentially fatal without early detection and timely treatment.

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Medicine Viperidae Envenomation Bradycardia Dialysis Sinus bradycardia Acute kidney injury Sinus (botany) Internal medicine Cardiology Pediatrics Surgery Heart rate Venom Blood pressure Ecology Botany Biology Genus

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Type: article
Language: en
Landing Page: https://doi.org/10.3389/fmed.2025.1600067
PDF: https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2025.1600067/pdf
OA Status: gold
References: 51
Related Works: 10
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DOI: https://doi.org/10.3389/fmed.2025.1600067

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Title: Sinus bradycardia and acute renal injury secondary to Viperidae snakebite: first case report

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Language: en

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Publication year: 2025

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Publication date: 2025-08-04

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Authors: Elías David Guamán Charco, Anabel Paredes-Ponce, Hugo Orellana-Chimbay, Nelson Omares, Genesis Guamán-Charco, Mario Rubio, Jorge Vásconez-González, Esteban Ortíz-Prado

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Landing page: https://doi.org/10.3389/fmed.2025.1600067

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Concepts: Medicine, Viperidae, Envenomation, Bradycardia, Dialysis, Sinus bradycardia, Acute kidney injury, Sinus (botany), Internal medicine, Cardiology, Pediatrics, Surgery, Heart rate, Venom, Blood pressure, Ecology, Botany, Biology, Genus

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