ArticleSouth African family practice : official journal of the South African Academy of Family Practice/Primary Care2021
A case report of detecting subclinical coagulopathy in a patient with boomslang (Dipholidus typus) bite.
Article in South African family practice : official journal of the South African Academy of Family Practice/Primary Care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 3 citations in OpenAlex.
- Ruthenium Antivenom Inhibits the Defibrinogenating Activity ofInternational journal of molecular sciences · 2024Article
- The use of rotational thromboelastometry to guide management followingBMJ case reports · 2024Article
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Abstract
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.
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