Hump-nosed viper (HNV) which compromises ‘Hypnale hypnale’, ‘H. zara’ and nepa’ is recognized as a highly venomous snake are the commonest cause of snakebite envenoming in Sri Lanka. It has been earlier identified resulting only minor or local whereas, now known to serious systemic toxicity fatalities. Here we report case 62 year old female presented with bite who developed Microangiopathic Hae...