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

BackgroundWorldwide, millions of people suffer from snakebites every year. In Ecuador, as of epidemiological week 30 of 2024, approximately 271 cases have been reported.Clinical caseA 54-year-old male patient suffered a snakebite from the Viperidae family 24 h ago, on his right upper limb. Classifie...

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Main Authors: Elías David Guamán-Charco, Anabel Paredes-Ponce, Hugo Orellana-Chimbay, Nelson Omares, Genesis Guamán-Charco, Mario Rubio, Jorge Vasconez-Gonzalez, Esteban Ortiz-Prado
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1600067/full
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author Elías David Guamán-Charco
Anabel Paredes-Ponce
Hugo Orellana-Chimbay
Nelson Omares
Genesis Guamán-Charco
Mario Rubio
Jorge Vasconez-Gonzalez
Esteban Ortiz-Prado
author_facet Elías David Guamán-Charco
Anabel Paredes-Ponce
Hugo Orellana-Chimbay
Nelson Omares
Genesis Guamán-Charco
Mario Rubio
Jorge Vasconez-Gonzalez
Esteban Ortiz-Prado
author_sort Elías David Guamán-Charco
collection DOAJ
description BackgroundWorldwide, millions of people suffer from snakebites every year. In Ecuador, as of epidemiological week 30 of 2024, approximately 271 cases have been reported.Clinical caseA 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.ConclusionComplications from snakebites are rare, both cardiovascular and renal, but can be potentially fatal without early detection and timely treatment.
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issn 2296-858X
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publisher Frontiers Media S.A.
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series Frontiers in Medicine
spelling doaj-art-710cc6158a64417cb58125c8ad5528bb2025-08-20T03:18:27ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-08-011210.3389/fmed.2025.16000671600067Sinus bradycardia and acute renal injury secondary to Viperidae snakebite: first case reportElías David Guamán-Charco0Anabel Paredes-Ponce1Hugo Orellana-Chimbay2Nelson Omares3Genesis Guamán-Charco4Mario Rubio5Jorge Vasconez-Gonzalez6Esteban Ortiz-Prado7One Health Research Group, Faculty of Health Science, Universidad de Las Americas, Quito, EcuadorEmergency Department, Marco Vinicio Iza Hospital, Nueva Loja, EcuadorInternal Medicine Department, Marco Vinicio Iza Hospital, Nueva Loja, EcuadorInternal Medicine Department, Marco Vinicio Iza Hospital, Nueva Loja, EcuadorFaculty of Medicine, University of Guayaquil, Guayaquil, EcuadorCardiology Service, Baca Ortiz Hospital, Quito, EcuadorOne Health Research Group, Faculty of Health Science, Universidad de Las Americas, Quito, EcuadorOne Health Research Group, Faculty of Health Science, Universidad de Las Americas, Quito, EcuadorBackgroundWorldwide, millions of people suffer from snakebites every year. In Ecuador, as of epidemiological week 30 of 2024, approximately 271 cases have been reported.Clinical caseA 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.ConclusionComplications from snakebites are rare, both cardiovascular and renal, but can be potentially fatal without early detection and timely treatment.https://www.frontiersin.org/articles/10.3389/fmed.2025.1600067/fullsnakebitesinus bradycardiaacute kidney injuryViperidaesnakebite envenomation
spellingShingle Elías David Guamán-Charco
Anabel Paredes-Ponce
Hugo Orellana-Chimbay
Nelson Omares
Genesis Guamán-Charco
Mario Rubio
Jorge Vasconez-Gonzalez
Esteban Ortiz-Prado
Sinus bradycardia and acute renal injury secondary to Viperidae snakebite: first case report
Frontiers in Medicine
snakebite
sinus bradycardia
acute kidney injury
Viperidae
snakebite envenomation
title Sinus bradycardia and acute renal injury secondary to Viperidae snakebite: first case report
title_full Sinus bradycardia and acute renal injury secondary to Viperidae snakebite: first case report
title_fullStr Sinus bradycardia and acute renal injury secondary to Viperidae snakebite: first case report
title_full_unstemmed Sinus bradycardia and acute renal injury secondary to Viperidae snakebite: first case report
title_short Sinus bradycardia and acute renal injury secondary to Viperidae snakebite: first case report
title_sort sinus bradycardia and acute renal injury secondary to viperidae snakebite first case report
topic snakebite
sinus bradycardia
acute kidney injury
Viperidae
snakebite envenomation
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1600067/full
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