Severe coagulopathy and transient hypertension following a Rhabdophis subminiatus bite: a case report

oleh: Erni Juwita Nelwan, Randy Adiwinata, Siti Handayani, Ikhwan Rinaldi

Format: Article
Diterbitkan: Sociedade Brasileira de Medicina Tropical (SBMT)

Deskripsi

Abstract: 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.