n South African Medical Journal - Case report - Haemotoxic snakebite in rural KwaZulu-Natal, South Africa : a case presenting with haematemesis : in practice

Volume 106, Issue 5
  • ISSN : 0256-9574
  • E-ISSN: 2078-5135



A 36-year-old man who had been bitten on the left index finger by a snake identified as a boomslang () presented with haematemesis and hypovolaemic shock. Coagulopathy was presumed, and the platelet count was 2 x 109L. 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.

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