Capillary Leak Syndrome Following Russell\'s Viper Envenomation: A Death Bell that Needs Urgent Addressal

Case DesCriptionA 54-year-old male presented to our emergency department after 24 hours of emergency management from an outside hospital for respiratory distress and hypotension following a Russell viper snakebite on his right leg.He reported a history of receiving 28 vials of antisnake venom based on a 20-minute whole blood clotting time assessment before transfer.On arrival, the patient was conscious and oriented, but dyspneic with a pulse rate of 110/minute, hypovolemic, respiratory rate of 28/minute, and blood pressure of 90/50 mm hg.Oxygen saturation was 95% on 6L of oxygen via face mask.Examination revealed a bite mark on the right dorsum of the foot with significant swelling, warmth, and 1,