Abstract
Objective: To report a case of a patient victim of an ophidian accident, in the state of Amazonas, in 2020, where the victim presented severe renal injury and hemorrhage. Case Details: Female patient, from the municipality of Tabatinga (AM) with a history of snakebite, by Jararaca (Bothrops sp), admitted to a hospital for treatment, developed acute kidney injury and coagulation disorder, hemodynamically stable, but with presence of ventricular extrasystoles. He had anuria, which is why hemodialysis sessions were started. Due to the severity of the hemorrhages and the renal condition, on the 10th day after the accident, we opted for the re-administration of anti-ophidic serum, in 12 ampoules, than the dose indicated for critically ill patients. The clinical picture improved and the ventricular extrasystoles disappeared on the 11th day of hospitalization, but the patient remained undergoing hemodialysis sessions. Final considerations: Ophidian accident case reports are of great relevance to provide premises for the development of future treatment protocols. Unfortunately, snakebite accidents are a routine reality in the Amazon and the search for medical care must be done immediately, which can be the difference between a positive result and a bad prognosis.