Fig. 2

Trend of hemoglobin and platelet count during the initial period after snakebite. Soon after the snakebite, our patient’s hemoglobin and platelet count were normal. Thereafter there is a period with no record of our patient’s hemoglobin level and platelet count because she was discharged initially from a local hospital. She then developed thrombocytopenia and anemia due to thrombotic microangiopathy. Later, her thrombocytopenia starts to recover spontaneously. Anemia was corrected using red cell transfusion. However, serum lactate dehydrogenase was high and schistocytes were persistent in blood picture. She developed acute coronary syndrome while thrombocytopenia was resolving but thrombotic microangiopathy persisted. NSTEMI non-ST elevation myocardial infarction