Scorpion bite, a sting to the heart!

被引：17

作者：

Agrawal, Avinash ^{[1
]}

Kumar, Anand ^{[1
]}

Consul, Shuchi ^{[2
]}

Yadav, Ambuj ^{[1
]}

机构：

[1] King Georges Med Univ, Dept Med, Lucknow, Uttar Pradesh, India

[2] Mayo Inst Med Sci, Dept Obstet & Gynaecol, Barabanki, Uttar Pradesh, India

来源：

INDIAN JOURNAL OF CRITICAL CARE MEDICINE | 2015年 / 19卷 / 04期

关键词：

Heart failure; myocardial infarction; scorpion bite;

D O I：

10.4103/0972-5229.154570

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Scorpion bites are common in India. Usually, these bites are harmless but sometimes have serious clinical sequelae, including death. We report herein a case of scorpion bite with electrocardiographic abnormalities simulating early myocardial infarction. Pulmonary edema and congestive heart failure accompanied these electrocardiographic changes as well as serum cardiac markers. The etiology of cardiovascular manifestations in severe scorpion sting is related to venom effect on sympathetic nervous system and the adrenal secretion of catecholamines as well as to the toxic effect of the venom on the myocardium itself. It is a rare case of scorpion sting presented as myocardial infarction and heart failure, successfully treated with Intensive Care Unit care, noninvasive ventilation, vasopressors, and antiischemic treatment.

引用

页码：233 / 236

页数：4

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