Haemotoxic snakebite in rural KwaZulu-Natal, South Africa : correspondence

To the Editor : We would like to comment on the case report published in the May 2016 issue of SAMJ of a suspected boomslang bite presenting with severe haematemesis. We question the diagnosis of a boomslang bite. Firstly, the clinical manifestations as described do not correlate witha boomslang bit...

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Bibliographic Details
Published in:South African medical journal Vol. 106; no. 8; p. 743
Main Authors: Muller, G.J., Decloedt, E.H.
Format: Journal Article
Language:English
Published: Health and Medical Publishing Group (HMPG) 01-08-2016
Online Access:Get full text
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Summary:To the Editor : We would like to comment on the case report published in the May 2016 issue of SAMJ of a suspected boomslang bite presenting with severe haematemesis. We question the diagnosis of a boomslang bite. Firstly, the clinical manifestations as described do not correlate witha boomslang bite. Boomslang bite results in severe consumptive coagulopathy with bleeding from multiple sites and would not be confined to a single organ system as described in the case report. Haemorrhagic gastritis and ulcers also do not fit the clinical picture. These findings may be better explained by chronic heavy alcohol consumption.
ISSN:0256-9574
2078-5135
DOI:10.7196/SAMJ.2016.v106i8.11119