Renal changes in snake bite include tubular necrosis, cortical necrosis, interstitial nephritis, arteritis, and thrombophlebitis.'-3 Glomerular changes are usually mild,' and severe glomerulonephritis is uncommon.4 We report the case of a patient bitten by a Russell's viper who presented with acute renal failure. A renal biopsy specimen showed extracapillary proliferative glomerulonephritis in ...

The differential diagnosis of vancomycin associated renal toxicity includes acute tubular necrosis and interstitial nephritis. We report a case of vancomycin induced renal toxicity shown by Tc-99m mercaptoacetyltriglycine renal scan. Nephrotoxicity was evolved secondary to vancomycin used for treating a patient with meningitis. Tc-99m mercaptoacetyltriglycine renal scan may play a role in diffe...

Acute kidney injury (AKI) is a recognised complication of intravenous pentamidine therapy. A direct nephrotoxic effect leading to acute tubular necrosis has been postulated. We report a case of severe renal allograft dysfunction due to nebulised pentamidine. The patient presented with repeated episodes of AKI without obvious cause and acute tubular necrosis only on renal histology. Nebulised pe...

Editorial QJM Medical treatment of acute tubular necrosis Renal function is acutely impaired in about 5% of common, and that the proposed treatments have been available for many years. If 'evidence' were hospital admissions.1 In all instances, the immediate priorities are the same. First, recognition and treat-required, then none would be treated: but then the same goes for calcium in hyperkala...