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All Journal Devotion: Journal of Research and Community Service Jurnal Media Tropika: Jurnal Pengabdian Kepada Masyarakat
Tanto, Ayu Cyntia
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Agriculture, Biological Sciences & Forestry Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Journal : Devotion: Journal of Research and Community Service

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Case Report: A 47-Year-Old Man with Coagulopathy Due to a Snakebite Purba, Reynardo Kurnia Hadiyanto; Sio, Beatrix; Tanto, Ayu Cyntia; Prijopranoto, Heri Sutrisno; Marpaung, Amrul
Devotion : Journal of Research and Community Service Vol. 6 No. 10 (2025): Devotion: Journal of Community Research
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/devotion.v6i10.25544

Abstract

Venomous snakebite is a medical emergency commonly occurring in tropical regions and can lead to severe systemic complications, including Venom-Induced Consumption Coagulopathy (VICC). This condition is characterized by activation of the coagulation pathway by snake venom enzymes, leading to massive consumption of clotting factors. A 47-year-old male presented with severe pain, progressive swelling, and subcutaneous bleeding of the left lower limb following a suspected snakebite while working in a forest. Laboratory examination revealed an unmeasurably prolonged prothrombin time (>150 seconds), indicating severe coagulopathy. The suspected envenomation was caused by Trimeresurus insularis, a venomous pit viper endemic to East Nusa Tenggara, Indonesia. Due to the unavailability of antivenom, the patient was managed supportively with Fresh Frozen Plasma (FFP) transfusion and vitamin K before self-discharging against medical advice. This case highlights the critical importance of early recognition and timely antivenom administration in managing venomous snakebites. Without antivenom, the risk of life-threatening complications such as hemorrhage, organ failure, and death increases significantly. Equitable distribution of antivenom and enhanced education for healthcare providers and the community are essential to reducing snakebite-related morbidity and mortality in Indonesia.
Co-Authors Folamauk, Conrad Liab Hendricson Ika Febianti Buntoro Marpaung, Amrul Nicholas Edwin Handoyo Nurina, Rr. Listyawati Prijopranoto, Heri Sutrisno Purba, Reynardo Kurnia Hadiyanto Sio, Beatrix