Evidence map›Paper›PMID 42339145›Full record

ArticleClinical case reports2026

Diagnosing Syndrome-Like Microangiopathic Hemolytic Anemia After Pit Viper Envenomation: Overcoming Laboratory Gaps in a Resource-Limited Setting: A Case Report From Nepal.

Prabhat Kaphle, Pukar Gupta, Sarjan Shrestha, Neeru Diyali, Raj Kumar Koirala, Amrita Shrestha, Dhanlaxmi Giri, Nabin Pahari, Anil Kumar Sah, Kamal Hamal and 1 more

Abstract read
In one paragraph

Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Prabhat KaphleNational Health Action Force Nepal Dhading Nepal.ORCID https://orcid.org/0009-0001-4834-9354
Pukar GuptaNational Health Action Force Nepal Dhading Nepal.ORCID https://orcid.org/0009-0003-0892-2050
Sarjan ShresthaSurkhet Provincial Hospital Surkhet Nepal.
Neeru DiyaliNational Health Action Force Nepal Dhading Nepal.
Raj Kumar KoiralaNational Health Action Force Nepal Dhading Nepal.ORCID https://orcid.org/0009-0009-6946-6435
Amrita ShresthaBhojpur District Hospital Bhojpur Nepal.
Dhanlaxmi GiriNational Health Action Force Nepal Dhading Nepal.ORCID https://orcid.org/0009-0008-9542-9964
Nabin PahariMercy City Hospital Butwal Nepal.ORCID https://orcid.org/0009-0005-1148-3751
Anil Kumar SahNational Health Action Force Nepal Dhading Nepal.
Kamal HamalNational Health Action Force Nepal Dhading Nepal.ORCID https://orcid.org/0009-0005-5292-2087
Sujan BoharaNational Health Action Force Nepal Dhading Nepal.ORCID https://orcid.org/0009-0004-8326-1659

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Snakebite envenomation remains a significant yet often overlooked health challenge in Nepal, particularly in its rural and hilly regions. While venom-induced consumption coagulopathy (VICC) is commonly observed with viper bites, microangiopathic hemolytic anemia (MAHA) is an extremely rare complication, especially with green pit vipers (

Indexed as

envenomationhemolytic anemiapit viperresource‐limited settingsthrombocytopenia

Identifiers

PMID42339145
PMCPMC13283921

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.