Severe acute kidney injury following Sri Lankan spp. envenoming is associated with thrombotic microangiopathy.

Context: Acute kidney injury (AKI) is the most serious clinical manifestation of the Sri Lankan hump-nosed pit viper ( spp.) bites. Thrombotic microangiopathy (TMA) is increasingly recognized in association with AKI in cases of spp envenomation.

Thrombotic microangiopathy and acute kidney injury following Sri Lankan and species envenoming.

Thrombotic microangiopathy (TMA) resulting in acute kidney injury (AKI) is an important complication of venomous snakebites. We aimed to describe TMA secondary to Russell's viper () and hump-nosed viper ( spp.) bites and assess the effect of different treatments.