Citation

Nelwan EJ, Adiwinata R, Handayani S, Rinaldi I. Rev. Soc. Bras. Med. Trop. 2016; 49(4): 520-522.

Affiliation

Division of Hematology and Medical Oncology, Department of Internal Medicine, University of Indonesia, Jakarta, Indonesia.

Copyright

(Copyright © 2016, Sociedade Brasileira De Medicina Tropical)

DOI

10.1590/0037-8682-0314-2015

PMID

27598644

Abstract

Because the majority of colubrid species are considered harmless to human beings, colubrid snakebites are rarely reported. However, the venom of Rhabdophis, which is part of the Colubridae family, is procoagulant and leads to severe coagulopathy. Here, we present a case of disseminated intravascular coagulation with enhanced fibrinolysis following a Rhabdophis bite. Although coagulopathy can be treated effectively with the specific Rhabdophis antivenom, this antivenom is not widely available in Indonesia. We also found transient hypertension secondary to the colubrid venom, an unusual finding.

Language: en