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January 14, 1961

Hemodialysis of Acute Renal Failure Following Rattlesnake Bite, with Recovery

Author Affiliations

Savannah, Ga.

From the Department of Medicine, Memorial Hospital of Chatham County.

JAMA. 1961;175(2):136-137. doi:10.1001/jama.1961.63040020031017

THE LITERATURE fails to reveal a case of acute renal insufficiency secondary to rattlesnake bite which has been dialyzed.1 The following is such a case report.

Report of a Case  An 11-year-old white male was bitten by a rattlesnake on July 14, 1959, and was seen one-half hour later by a physician, who found the boy to be in circulatory collapse with an unobtainable blood pressure. The boy was given intravenous corticosteroids, with a prompt response in blood pressure. About one and one-half hours later, he arrived at another hospital in this city and at that time was unconscious, convulsive, and without an obtainable blood pressure. He was given antivenom and more corticosteroids intravenously. Shortly afterward his blood pressure was recorded at 95/65 mm. Hg, and he regained consciousness.Physical examination revealed two fang marks on the dorsum of the right foot about 1 in. apart, with local

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