{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:41:34Z","timestamp":1753882894698,"version":"3.41.2"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p> The hump-nosed vipers which compromise \u2018 Hypnale hypnale\u2019, \u2018H. zara\u2019 and \u2018H. nepa\u2019 have been highly venomous snakes and \u2018H. zara\u2019 and \u2018H. nepa\u2019 are indigenous to Sri Lanka and \u2018H. hypnale\u2019 is endemic to Sri Lanka and India. The clinical presentations range from local swelling, blistering and necrosis at the site of bite with distinct fang marks to systemic envenomations such as coagulopathy, thrombotic microangiopathy, acute kidney injury and death in severe cases. Here, we report a case of thrombotic microangiopathy following hump-nosed viper \u2018 Hypnale\u2019 bite. <\/jats:p>","DOI":"10.1177\/2050313x20944308","type":"journal-article","created":{"date-parts":[[2020,9,10]],"date-time":"2020-09-10T07:22:16Z","timestamp":1599722536000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Thrombotic microangiopathy following hump-nosed viper \u2018<i>Hypnale\u2019<\/i> envenomation"],"prefix":"10.1177","volume":"8","author":[{"given":"Shiran","family":"Puthra","sequence":"first","affiliation":[{"name":"Colombo South Teaching Hospital \u2013 Kalubowila, Dehiwala-Mount Lavinia, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4274-4919","authenticated-orcid":false,"given":"Selladurai","family":"Pirasath","sequence":"additional","affiliation":[{"name":"Colombo South Teaching Hospital \u2013 Kalubowila, Dehiwala-Mount Lavinia, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Athwel Gamarallage","family":"Hemal Sugathapala","sequence":"additional","affiliation":[{"name":"Colombo South Teaching Hospital \u2013 Kalubowila, Dehiwala-Mount Lavinia, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ariaranee","family":"Gnanathasan","sequence":"additional","affiliation":[{"name":"Professorial Medical Unit, University of Colombo and National Hospital of Sri Lanka, Colombo, Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,9,10]]},"reference":[{"key":"bibr1-2050313X20944308","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0004813"},{"key":"bibr2-2050313X20944308","doi-asserted-by":"publisher","DOI":"10.1016\/j.trstmh.2008.03.023"},{"key":"bibr3-2050313X20944308","doi-asserted-by":"publisher","DOI":"10.4172\/2329-891X.1000114"},{"key":"bibr4-2050313X20944308","doi-asserted-by":"publisher","DOI":"10.1093\/trstmh\/try120"},{"key":"bibr5-2050313X20944308","doi-asserted-by":"publisher","DOI":"10.1016\/S1995-7645(10)60217-9"},{"key":"bibr6-2050313X20944308","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l1296"},{"key":"bibr7-2050313X20944308","doi-asserted-by":"publisher","DOI":"10.1186\/1678-9199-20-24"},{"key":"bibr8-2050313X20944308","unstructured":"Guidelines for management of snake-bites, 2010, p.73, http:\/\/digicollection.org\/hss\/documents\/s17111e\/s17111e.pdf"},{"key":"bibr9-2050313X20944308","first-page":"1348749","volume":"2017","author":"Gn YM","year":"2017","journal-title":"Case Rep Nephrol"},{"key":"bibr10-2050313X20944308","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1254053"},{"key":"bibr11-2050313X20944308","doi-asserted-by":"publisher","DOI":"10.1016\/j.toxicon.2012.08.012"},{"key":"bibr12-2050313X20944308","doi-asserted-by":"publisher","DOI":"10.1016\/j.actatropica.2012.01.016"}],"container-title":["SAGE Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X20944308","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X20944308","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X20944308","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T22:16:44Z","timestamp":1740867404000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X20944308"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":12,"alternative-id":["10.1177\/2050313X20944308"],"URL":"https:\/\/doi.org\/10.1177\/2050313x20944308","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"type":"print","value":"2050-313X"},{"type":"electronic","value":"2050-313X"}],"subject":[],"published":{"date-parts":[[2020,1]]},"article-number":"2050313X20944308"}}