| Summary: | Introduction: Vascularity of kidneys is very high, so these organs are
potentially susceptible to be affected with toxins including snake venom. Hypersensitivity to
snake venous could cause some neurological problem. Case Report: We present a 14-year-old boy
with acute kidney injury (AKI) due to snake bite. After a few days, kidney failure with
hematuria was developed. His serum creatinine level rose to 3 mg/dl and following 2 weeks
gradually and decreased to normal level without any special treatment except for anti-venom,
which was not prescribed inappropriate time (this type of AKI is not reported previously). He
had seizure attacks, which were according to magnetic resonance imaging due to posterior
reversible encephalopathy syndrome (PRES) (This neurologic complication has been seen in other
kidney injuries but up to now it was not reported in snake bite victims). Conclusion: Sanke
venom could cause PRES due to AKI and seizure could be one of the most important complications
in snake bite.
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