In:
Acute Medicine & Surgery, Wiley, Vol. 2, No. 2 ( 2015-04), p. 123-126
Abstract:
A healthy 40‐year‐old man was admitted with severe coagulopathy that developed after R habdophis tigrinus bites. On admission, he showed significantly elevated levels of thrombin–antithrombin III complex (60 ng/ mL ), plasmin–alpha 2‐plasmin inhibitor complex (22.3 μg/ mL ), and fibrinogen degradation products (592 μg/ mL ). He subsequently developed severe hypofibrinogenemia (50 mg/ dL ). Outcome Antivenom was given 28 h after the patient was bitten, following which his hemorrhagic symptoms resolved. By day 3 of admission, scabs had formed over the bite wounds. Furthermore, his fibrinogen levels increased to 〉 100 mg/ dL , while his thrombin–antithrombin III complex, plasmin–alpha 2‐plasmin inhibitor complex, and fibrinogen degradation product levels normalized. He was discharged on day 6 of admission. Conclusion Rhabdophis tigrinus bites induced disseminated intravascular coagulation with a fibrinolytic phenotype, which completely recovered with antivenom treatment.
Type of Medium:
Online Resource
ISSN:
2052-8817
,
2052-8817
DOI:
10.1002/ams2.2015.2.issue-2
Language:
English
Publisher:
Wiley
Publication Date:
2015
detail.hit.zdb_id:
2751184-4
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