Ischemic Stroke Following Calloselasma rhodostoma Snakebite: A Rare Case Report

Abstract

Rizaldy Taslim Pinzon,1,2 Radian Adhiputra Antonius,1 Vanessa Veronica1 1Faculty of Medicine, Duta Wacana Christian University, Yogyakarta, Indonesia; 2Department of Neurology, Bethesda Hospital, Yogyakarta, IndonesiaCorrespondence: Rizaldy Taslim PinzonFaculty of Medicine, Duta Wacana Christian University, Doctor Wahidin Sudirohusodo street number 5– 25, Yogyakarta, 55224, Indonesia, Email [email protected]: 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.Keywords: Calloselasma rhodostoma, Viperidae, ischemic stroke, snakebite

Keywords

• calloselasma rhodostoma
• viperidae
• ischemic stroke
• snakebite