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Ischemic Stroke Following Calloselasma rhodostoma Snakebite: A Rare Case Report
Rizaldy Taslim Pinzon1,2, Radian Adhiputra Antonius1, Vanessa Veronica1
1Faculty of Medicine, Duta Wacana Christian University, Yogyakarta, Indonesia.
Background:
Ischemic stroke following a snakebite is a rare case. Snake venom consists of multiple components which can cause various symptoms and consequences. We report a case of ischemic stroke following Calloselasma rhodostoma snakebite, and this study was the first to report a case of ischemic stroke after snakebite in Indonesia.
Case Presentation:
A 72-year-old Mongoloid male presented with a history of snakebite one day before hospital admission with a swollen right lower leg with no history of hypertension, diabetes mellitus, or heart disease. The patient was conscious. His temperature was 36.5°C, pulse rate was 90 beats per minute, respiration rate was 30 breaths per minute, and blood pressure was 162/109 mmHg. The neurological examination showed left-side weakness and headache, with blood laboratory results showing prolonged prothrombin time (PT) and activated partial thromboplastin time (aPTT), leucocytosis, thrombocytopenia, and low haemoglobin. A computerized tomogram (CT) scan of the brain was taken, which revealed a sign of infarct in the pericallosal of the right lateral periventricular anterior horn.
Conclusion:
Although ischemic stroke following a snakebite is uncommon, it must be considered and monitored.
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