Severe Coagulopathy after Ingestion of "Snake Wine"

The Journal of Emergency Medicine
Jeong Mi Moon, Byeong Jo Chun

Abstract

This report describes a patient who developed coagulopathy after ingesting snake wine, which is an alcoholic libation containing an entire venomous snake. A 68-year-old man was admitted to the hospital 19 h after ingesting snake wine. The laboratory features upon admission included unmeasurable activated partial thromboplastin (aPTT) values, prolonged prothrombin time (PT) values, increased fibrinogen levels, modestly elevated fibrin degradation product and D-dimer values, uncorrected aPTT and PT values after a mixing test, and normal levels of aspartate transaminase and alanine transaminase. No pesticides, warfarin, or superwarfarin in the patient's blood or urine were detected. His coagulation profile normalized on the 6(th) day after admission after antivenom treatment. He was discharged 10 days later without sequelae. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: The physician should be aware that ingesting snake wine may lead to systemic envenomation. As for coagulopathy, which may develop by ingesting snake venom, related laboratory findings may differ from the features observed after direct envenomation by snakebite.

References

Jun 1, 2005·Toxicon : Official Journal of the International Society on Toxinology·Julian White
Jul 13, 2006·The Biochemical Journal·R Manjunatha Kini
Nov 6, 2007·Blood Coagulation & Fibrinolysis : an International Journal in Haemostasis and Thrombosis·Qiuyan ZhangYongming Bao
Dec 12, 2007·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Jae Hong AhnDae Shick Ryu
Feb 23, 2010·Journal of Biochemical and Molecular Toxicology·Rutao LiuXiaopeng Hao
Jun 3, 2014·Wilderness & Environmental Medicine·Changwoo KangChi-Young Jeong
Oct 24, 2014·PLoS Neglected Tropical Diseases·Kalana Maduwage, Geoffrey K Isbister
Apr 14, 2015·Journal of Intensive Care·Toru HifumiYasuhiro Kuroda

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Citations

Aug 1, 2018·Molecules : a Journal of Synthetic Chemistry and Natural Product Chemistry·Maik DammRoderich D Süssmuth

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