TY  - JOUR
PY  - 2021//
TI  - A case report of detecting subclinical coagulopathy in a patient with boomslang (Dipholidus typus) bite
JO  - South African family practice (2004)
A1  - Tambwe, Mungela J.
A1  - Lalloo, Vidya
A1  - Engelbrecht, Andreas
A1  - Pelle, Pholosho
SP  - e1
EP  - e5
VL  - 63
IS  - 1
N2  - 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>
LA  - en
SN  - 2078-6190
UR  - http://dx.doi.org/10.4102/safp.v63i1.5299
ID  - ref1
ER  -