A case report of detecting subclinical coagulopathy in a patient with boomslang (Dipholidus typus) bite

South African Family Practice

Mungela J. Tambwe¹  Andreas Engelbrecht¹  Vidya Lalloo¹  Pholosho Pelle¹ 

[1] Department of Family Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria;

关键词: boomslang bite;    monovalent antivenom;    haemotoxic envenomation;    snake bite;    rotational;    thromboelastometry (rotem);   

DOI  :  10.4102/safp.v63i1.5299

来源: DOAJ

【 摘 要 】

The boomslang (Dipholidus typus) has a predominantly haemotoxic venom. Because of the consumptive nature of the coagulopathy, signs and symptoms are usually delayed by up to 72 h after the bite. Traditional laboratory coagulation assays have a long turnaround time, by which time the patient’s bleeding and clotting profile has changed. A 25-year-old male patient was bitten by a boomslang. Despite two normal laboratory coagulation assay results, a point-of-care rotational thromboelastometry showed low fibrinogen levels, leading to the administration of monovalent antivenom. This report highlights the value of point-of-care thromboelastometry in the care of patients with subclinical boomslang envenomation.

【 授权许可】

Unknown