The use of rotational thromboelastometry to guide management following Bitis nasicornis envenoming

A man in his thirties presented following Bitis nasicornis envenoming. His coagulation was assessed using rotational thromboelastometry (ROTEM). It identified a subtle abnormality, not detected using standard laboratory assessments of coagulation, and influenced ongoing management. The abnormality resolved following treatment with antivenom. There are few documented cases of using ROTEM to assess patients following haemotoxic envenoming. This case highlights some of the potential benefits and limitations of doing so.

Citation

Nye, C., Lalloo, D. G., & Hooper, T. (2024). The use of rotational thromboelastometry to guide management following Bitis nasicornis envenoming. BMJ case reports, 17(4), e258319. https://doi.org/10.1136/bcr-2023-258319

DOI

10.1136/bcr-2023-258319

URI

https://hdl.handle.net/20.500.14709/306