Severe coagulopathy and transient hypertension following a Rhabdophis subminiatus bite: a case report.
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.
Division of Tropical and Infectious Disease, Department of Internal Medicine, University of Indonesia, Jakarta, Indonesia.
Erni Juwita
EJ
Nelwan
Faculty of Medicine, Atmajaya Catholic University of Indonesia, Jakarta, Indonesia.
Randy
R
Adiwinata
Division of Plastic Surgery, Department of Surgery, University of Indonesia, Jakarta, Indonesia.
Siti
S
Handayani
Division of Hematology and Medical Oncology, Department of Internal Medicine, University of Indonesia, Jakarta, Indonesia.
Ikhwan
I
Rinaldi
D000818:Animals; D001778:Blood Coagulation Disorders / Q000209:etiology*; D017812:Colubridae; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D012909:Snake Bites / Q000150:complications*; D012910:Snake Venoms / Q000506:poisoning*
D012910:Snake Venoms