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

South African Family Practice

 
 
Field Value
 
Title A case report of detecting subclinical coagulopathy in a patient with boomslang (Dipholidus typus) bite
 
Creator Tambwe, Mungela J. Lalloo, Vidya Engelbrecht, Andreas Pelle, Pholosho
 
Subject Family Medicine boomslang bite; monovalent antivenom; haemotoxic envenomation; snake bite; rotational; thromboelastometry (ROTEM)
Description 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.
 
Publisher AOSIS
 
Contributor
Date 2021-08-11
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — qualitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v63i1.5299
 
Source South African Family Practice; Vol 63, No 1 (2021): Part 3; 5 pages 2078-6204 2078-6190
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://safpj.co.za/index.php/safpj/article/view/5299/6838 https://safpj.co.za/index.php/safpj/article/view/5299/6839 https://safpj.co.za/index.php/safpj/article/view/5299/6840 https://safpj.co.za/index.php/safpj/article/view/5299/6841
 
Coverage South African 2021 snake
Rights Copyright (c) 2021 Mungela J. Tambwe, Vidya Lalloo, Andreas Engelbrecht, Pholosho Pelle https://creativecommons.org/licenses/by/4.0
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