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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1994-2-28
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pubmed:abstractText |
Fifty-two patients who had been bitten by Russell's vipers in Myanmar developed acute renal failure (serum creatinine exceeding 1.3 mg/dL). Thirty-four of them (65%) became oliguric, but the other 18 (35%) maintained a urine output of more than 400 mL/24 h. In oliguric patients, gastrointestinal haemorrhages, renal angle tenderness and conjunctival oedema occurred more commonly, and peak serum creatinine, blood urea nitrogen and the fractional excretion of sodium were significantly higher (P < 0.01) than in non-oliguric patients, indicating a greater degree of renal damage. Urinary concentrations of beta 2 microglobulin and retinol binding protein were raised in most of the patients indicating failure of proximal tubular reabsorption of these proteins, while high urinary N-acetyl glucosaminidase concentrations were consistent with renal tubular damage. Plasma concentrations of active renin were very high, suggesting that renal ischaemia, associated with activation of the renin-angiotensin system, was involved in the development of renal dysfunction.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0035-9203
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
87
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
678-81
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:8296375-Acute Kidney Injury,
pubmed-meshheading:8296375-Adult,
pubmed-meshheading:8296375-Animals,
pubmed-meshheading:8296375-Conjunctival Diseases,
pubmed-meshheading:8296375-Edema,
pubmed-meshheading:8296375-Female,
pubmed-meshheading:8296375-Humans,
pubmed-meshheading:8296375-Ischemia,
pubmed-meshheading:8296375-Kidney,
pubmed-meshheading:8296375-Male,
pubmed-meshheading:8296375-Oliguria,
pubmed-meshheading:8296375-Prospective Studies,
pubmed-meshheading:8296375-Russell's Viper,
pubmed-meshheading:8296375-Snake Bites,
pubmed-meshheading:8296375-Viper Venoms
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pubmed:articleTitle |
Renal ischaemia, transient glomerular leak and acute renal tubular damage in patients envenomed by Russell's vipers (Daboia russelii siamensis) in Myanmar.
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pubmed:affiliation |
Clinical Research Unit for Snakebite, Department of Medical Research, Yangon, Myanmar.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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