A case report of detecting subclinical coagulopathy in a patient with boomslang (Dipholidus typus) bite
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 bleedi...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
AOSIS
2021-08-01
|
| Series: | South African Family Practice |
| Subjects: | |
| Online Access: | https://safpj.co.za/index.php/safpj/article/view/5299 |
| _version_ | 1811331289387630592 |
|---|---|
| author | Mungela J. Tambwe Vidya Lalloo Andreas Engelbrecht Pholosho Pelle |
| author_facet | Mungela J. Tambwe Vidya Lalloo Andreas Engelbrecht Pholosho Pelle |
| author_sort | Mungela J. Tambwe |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-13T16:18:29Z |
| format | Article |
| id | doaj.art-c2a21b0622e64c37949862a3d2ed079f |
| institution | Directory Open Access Journal |
| issn | 2078-6190 2078-6204 |
| language | English |
| last_indexed | 2024-04-13T16:18:29Z |
| publishDate | 2021-08-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Family Practice |
| spelling | doaj.art-c2a21b0622e64c37949862a3d2ed079f2022-12-22T02:40:00ZengAOSISSouth African Family Practice2078-61902078-62042021-08-01631e1e510.4102/safp.v63i1.52994147A case report of detecting subclinical coagulopathy in a patient with boomslang (Dipholidus typus) biteMungela J. Tambwe0Vidya Lalloo1Andreas Engelbrecht2Pholosho Pelle3Department of Family Medicine, Faculty of Health Sciences, University of Pretoria, PretoriaDepartment of Family Medicine, Faculty of Health Sciences, University of Pretoria, PretoriaDepartment of Family Medicine, Faculty of Health Sciences, University of Pretoria, PretoriaDepartment of Family Medicine, Faculty of Health Sciences, University of Pretoria, PretoriaThe 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.https://safpj.co.za/index.php/safpj/article/view/5299boomslang bitemonovalent antivenomhaemotoxic envenomationsnake biterotationalthromboelastometry (rotem) |
| spellingShingle | Mungela J. Tambwe Vidya Lalloo Andreas Engelbrecht Pholosho Pelle A case report of detecting subclinical coagulopathy in a patient with boomslang (Dipholidus typus) bite South African Family Practice boomslang bite monovalent antivenom haemotoxic envenomation snake bite rotational thromboelastometry (rotem) |
| title | A case report of detecting subclinical coagulopathy in a patient with boomslang (Dipholidus typus) bite |
| title_full | A case report of detecting subclinical coagulopathy in a patient with boomslang (Dipholidus typus) bite |
| title_fullStr | A case report of detecting subclinical coagulopathy in a patient with boomslang (Dipholidus typus) bite |
| title_full_unstemmed | A case report of detecting subclinical coagulopathy in a patient with boomslang (Dipholidus typus) bite |
| title_short | A case report of detecting subclinical coagulopathy in a patient with boomslang (Dipholidus typus) bite |
| title_sort | case report of detecting subclinical coagulopathy in a patient with boomslang dipholidus typus bite |
| topic | boomslang bite monovalent antivenom haemotoxic envenomation snake bite rotational thromboelastometry (rotem) |
| url | https://safpj.co.za/index.php/safpj/article/view/5299 |
| work_keys_str_mv | AT mungelajtambwe acasereportofdetectingsubclinicalcoagulopathyinapatientwithboomslangdipholidustypusbite AT vidyalalloo acasereportofdetectingsubclinicalcoagulopathyinapatientwithboomslangdipholidustypusbite AT andreasengelbrecht acasereportofdetectingsubclinicalcoagulopathyinapatientwithboomslangdipholidustypusbite AT pholoshopelle acasereportofdetectingsubclinicalcoagulopathyinapatientwithboomslangdipholidustypusbite AT mungelajtambwe casereportofdetectingsubclinicalcoagulopathyinapatientwithboomslangdipholidustypusbite AT vidyalalloo casereportofdetectingsubclinicalcoagulopathyinapatientwithboomslangdipholidustypusbite AT andreasengelbrecht casereportofdetectingsubclinicalcoagulopathyinapatientwithboomslangdipholidustypusbite AT pholoshopelle casereportofdetectingsubclinicalcoagulopathyinapatientwithboomslangdipholidustypusbite |