Thrombotic microangiopathy and acute kidney injury in hump-nosed viper (Hypnale species) envenoming: A descriptive study in Sri Lanka

► Hump-nosed viper bite causes coagulation abnormalities and AKI in envenomation. ► Thrombotic microangiopathy (TMA), found in patients with AKI. ► TMA could have led to development of severe AKI. ► TMA could have led to local tissue necrosis, severe thrombocytopenia and anaemia. ► Strong suspicion is needed to detect TMA in envenomed patients.