Acquired factor VIII deficiency after consuming the dried gallbladder of a cobra, Naja naja
Korean Journal of Hematology
;
: 205-207, 2010.
Article
in English
| WPRIM
| ID: wpr-720390
ABSTRACT
Acquired factor VIII deficiency is very rare, often fatal. It is associated with pregnancy, autoimmune diseases, malignancy, and drugs, although no underlying cause is found in 50%. A 49-year-old male was referred with right shoulder bruising. The coagulation test showed a prolonged activated partial thromboplastin time. The factor VIII level was less than 1%, and the factor VIII inhibitor antibody titer was 246 Bethesda units/mL. The findings were compatible with acquired factor VIII deficiency. He had consumed the dried gallbladder of a cobra, Naja naja, for two weeks, it contained venom. After the initial treatment with factor VIII, he did not take supplemental coagulation factor VIII. The patient was readmitted with left forearm swelling. He lost consciousness suddenly and brain computed tomography (CT) revealed a subdural hematoma. Despite administering recombinant factor VII, his bleeding was not controlled and he died.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Partial Thromboplastin Time
/
Shoulder
/
Autoimmune Diseases
/
Venoms
/
Brain
/
Factor VII
/
Factor VIII
/
Elapidae
/
Consciousness
/
Forearm
Limits:
Humans
/
Male
/
Pregnancy
Language:
English
Journal:
Korean Journal of Hematology
Year:
2010
Type:
Article
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