A 67 years old male with alleged history of Snake bite was admitted to our hospital with acute kidney injury, deranged liver function and swelling in lower limbs. Although his renal function was improved during course of treatment including hemodialysis. His blood report shows coagulability , MRI and ct scan shows cvt & multiple CEREBELLAR & cerebral infarcts . Patient kept on LMWH, recurrent hemodialysis and supportive treatment He improved and discharge on Oral anticoagulants

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