Journal of
Clinical Medicine and Research

  • Abbreviation: J. Clin. Med. Res.
  • Language: English
  • ISSN: 2141-2235
  • DOI: 10.5897/JCMR
  • Start Year: 2009
  • Published Articles: 102

Case Report

Is delayed coagulopathy still difficult to anticipate after snakebite? — An illustrative case report

Philip B. Adebayo
  • Philip B. Adebayo
  • Departments of Medicine, Ladoke Akintola University of Technology/Ladoke Akintola University of Technology Teaching Hospital, Ogbomoso, Nigeria. Department of Medicine, Federal Medical centre, Bida, Niger State, Nigeria.
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Umenze Ikenna
  • Umenze Ikenna
  • Department of Medicine, Federal Medical centre, Bida, Niger State, Nigeria.
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Umar G. Adamu
  • Umar G. Adamu
  • Department of Medicine, Federal Medical centre, Bida, Niger State, Nigeria.
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Alaba G. Okuku
  • Alaba G. Okuku
  • Department of Medicine, Federal Medical centre, Bida, Niger State, Nigeria.
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  •  Accepted: 25 July 2013
  •  Published: 31 October 2013

Abstract

Coagulopathy following snakebite typically occur within 24 h. Occasionally, abnormality of the coagulation system persists into the second week; although clinically, significant bleeding is rare after seven days. Early coagulopathy and concurrent acute renal failure tends to increase the odd of delayed coagulopathy. We report a case of delayed coagulopathy and renal failure occurring after 2 weeks in a previously healthy male patient who was bitten by Echis occelatus to illustrate the fact that coagulopathy could be delayed till the third week after snakebite. We suggest close clinical and/or laboratory surveillance of patients who survived an early envenomation, so as to forestall unnecessary morbidity and mortality.

 

Key words: Coagulopathy, snakebite, Echis occelatus.