Tambwe, Mungela J.Lalloo, VidyaEngelbrecht, AndreasPelle, Ratang Pholosho2022-10-062022-10-062021-08Tambwe, M.J., Lalloo, V., Engelbrecht, A. & Pelle, P. A case report of detecting subclinical coagulopathy in a patient with boomslang (Dipholidus typus) bite. South African Family Practice 2021;63(1), a5299. https://doi.org/10.4102/safp. v63i1.5299.2078-6190 (print)2078-6204 (online)10.4102/safp. v63i1.5299https://repository.up.ac.za/handle/2263/87546The boomslang (Dipholidus typus) has a predominantly haemotoxic venom. Because of the consumptive nature of the coagulopathy, signs and symptoms are usually delayed by up to 72 h after the bite. Traditional laboratory coagulation assays have a long turnaround time, by which time the patient’s bleeding and clotting profile has changed. A 25-year-old male patient was bitten by a boomslang. Despite two normal laboratory coagulation assay results, a pointof-care rotational thromboelastometry showed low fibrinogen levels, leading to the administration of monovalent antivenom. This report highlights the value of point-of-care thromboelastometry in the care of patients with subclinical boomslang envenomation.en© 2021. The Authors. Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.Boomslang biteMonovalent antivenomHaemotoxic envenomationSnake biteRotationalThromboelastometry (ROTEM)Boomslang (Dipholidus typus)Health sciences articles SDG-03SDG-03: Good health and well-beingArticle