@article{ref1,
title="A case report of detecting subclinical coagulopathy in a patient with boomslang (Dipholidus typus) bite",
journal="South African family practice (2004)",
year="2021",
author="Tambwe, Mungela J. and Lalloo, Vidya and Engelbrecht, Andreas and Pelle, Pholosho",
volume="63",
number="1",
pages="e1-e5",
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.<p /> <p>Language: en</p>",
language="en",
issn="2078-6190",
doi="10.4102/safp.v63i1.5299",
url="http://dx.doi.org/10.4102/safp.v63i1.5299"
}