title: Haemotoxic snakebite in rural KwaZulu-Natal, South Africa: A case presenting with haematemesis.
abstract: A 36-year-old man who had been bitten on his left index finger by a snake identified as a boomslang (Dispholidus typus) presented with haematemesis and hypovolaemic shock. Coagolopathy was presumed, and the platelet count was 2 × 10⁹/L. Findings on upper endoscopy included oesophageal petechial haemorrhages, severe haemorrhagic gastritis and an antral ulcer. The patient was successfully managed using freeze-dried plasma, packed red blood cells, isotonic crystalloids and polyvalent antivenom.
authors.affiliation: Ngwelezane Hospital, Empangeni, KwaZulu-Natal, South Africa. Mark.wagener2@gmail.com.
authors.forename: Mark
authors.initials: M
authors.lastname: Wagener
mesh_terms: D053799:2-Pyridinylmethylsulfinylbenzimidazoles / Q000627:therapeutic use; D000328:Adult; D000897:Anti-Ulcer Agents / Q000627:therapeutic use; D000997:Antivenins / Q000627:therapeutic use; D000077324:Crystalloid Solutions; D017707:Erythrocyte Transfusion; D005612:Freeze Drying; D005756:Gastritis / Q000209:etiology / Q000628:therapy; D006396:Hematemesis / Q000209:etiology*; D006801:Humans; D007552:Isotonic Solutions / Q000627:therapeutic use; D008297:Male; D000077402:Pantoprazole; D010949:Plasma; D012424:Rural Population; D012769:Shock / Q000209:etiology / Q000628:therapy; D012909:Snake Bites / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D013019:South Africa; D013276:Stomach Ulcer / Q000209:etiology / Q000628:therapy
chemical_list: D053799:2-Pyridinylmethylsulfinylbenzimidazoles; D000897:Anti-Ulcer Agents; D000997:Antivenins; D000077324:Crystalloid Solutions; D007552:Isotonic Solutions; D000077402:Pantoprazole