n South African Medical Journal - Case report - Haemotoxic snakebite in rural KwaZulu-Natal, South Africa : a case presenting with haematemesis : in practice
|Article Title||Case report - Haemotoxic snakebite in rural KwaZulu-Natal, South Africa : a case presenting with haematemesis : in practice|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||South African Medical Journal|
|Affiliations||1 Ngwelezane Hospital|
|Publication Date||May 2016|
|Pages||459 - 460|
A 36-year-old man who had been bitten on the left index finger by a snake identified as a boomslang (Dispholidus typus) 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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