Table 1.
timeline of events from admission
| Day (Date) | Intervention |
|---|---|
| Pre-admission | 1 week history of fever, headache and neck pain and sore throat |
| Generalized maculopapular, erythematous rash develops over the body three days before admission | |
| 1 (Admission 20/08/2020) | Admitted to Chris Hani Baragwanath hospital |
| Continued on IV fluids | |
| Continued on antibiotics ceftriaxone, day 3 | |
| 2 (21/08/2020) | Started on acyclovir |
| Doxycycline added | |
| Continued on ceftriaxone | |
| Persistent temperature noted | |
| 3 (22/08/2020) | Drop in blood pressure |
| Increase in intravenous fluid rate | |
| Slight improvement in rash | |
| 4 (23/08/2020) | Increase in troponin levels noted |
| ECHO: global hypokinesia, ejection fraction:10% | |
| Intravenous immunoglobulin started | |
| Dobutamine infusion started | |
| Gentle furosemide infusion started | |
| 5 (24/08/2020) | Intravenous methylprednisolone started |
| Serology sent for COVID-19 antibody testing | |
| Furosemide dose weaned | |
| 6 (25/08/2020) | Temperature noted to be settling, haemodynamically stable |
| Aspirin and therapeutic clexane started | |
| 7 (26/08/2020) | Repeat ECHO: ejection fraction: 50% methylprednisolone intravenous completed |
| 8 (27/08/2020) | Switched to oral prednisone |
| 9 (28/08/2020) | Stepped down to main medical ward |
| 12 (31/08/2020) | Discharged |