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[Boomslang (Dispholidus typus) bite: case report]

J D Gerber, H P Adendorff

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |April 26, 1980
    PubMed
    Summary
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    A boomslang (Dispholidus typus) bite victim initially improved with Ringer's lactate and polyvalent antiserum. Delayed specific boomslang antivenom administration led to recovery from severe hemorrhage, highlighting its critical role in treating Dispholidus typus envenomation.

    Area of Science:

    • Herpetology
    • Toxicology
    • Clinical Medicine

    Background:

    • The boomslang (Dispholidus typus) is a highly venomous snake native to Southern Africa.
    • Boomslang venom is hemotoxic, causing coagulopathy and severe hemorrhage.
    • Prompt and appropriate medical intervention is crucial for managing Dispholidus typus envenomation.

    Observation:

    • A male patient presented to a mission hospital following a Dispholidus typus bite.
    • Initial treatment with Ringer's lactate and polyvalent antiserum showed temporary improvement.
    • Severe hemorrhage commenced three hours post-bite, necessitating blood and plasma transfusions.

    Findings:

    • Delayed administration of specific boomslang antivenom, 32 hours after the bite, resulted in clinical improvement.

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  • The patient's coagulopathy and hemorrhage were successfully managed with targeted antivenom therapy.
  • Complete recovery and discharge were achieved following the administration of specific Dispholidus typus antivenom.

    • Implications:

    • This case underscores the critical importance of timely and specific antivenom therapy for Dispholidus typus envenomation.
    • Early recognition of boomslang bite symptoms and rapid administration of appropriate antivenom can prevent life-threatening hemorrhage.
    • Effective management strategies for Dispholidus typus bites involve supportive care and specific antivenom, crucial for patient survival and recovery.