Table 1 Time line of events
Date | Events | Investigations | Interventions |
|---|---|---|---|
2022/11/08 | Hump nosed viper bite Hospital admission | Oral antibiotics and discharged | |
2022/11/11 | Progressive shortness of breath with chest tightness (re-admission to local hospital) transferred to National hospital for further management | ECG—ST segment depressions and T inversions in lateral leads Troponin I titer + CXR—acute pulmonary oedema Coagulation profile/ renal functions—normal | S/C enoxaparin with dual antiplatelets and statin therapy Intravenous frusemide therapy and supplemental oxygen |
2022/11/13 | Reduction in oxygen demand | 2DECHO—EF 60% with mild lateral wall hypokinesia | Converted to oral frusemide Enoxaparin omitted after 3 days of therapy |
2022/11/15 | Clinically well | CT—coronary angiogram performed normal study | |
2022/11/17 | Patient was discharged. Planned to review in 3 months at clinic |