Silva Anjana, Pilapitiya Senaka, Siribaddana Sisira
Department of Parasitology, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Anuradhapura, Sri Lanka.
BMC Res Notes. 2012 Sep 12;5:500. doi: 10.1186/1756-0500-5-500.
Russell's viper (Daboia russelli) bites lead to high morbidity and mortality in South Asia. Although variety of clinical manifestations is reported in viper bite victims, myocardial ischemic events are rare.
We report a unique case of inferior wall ST elevation myocardial infarction due to a Russell's viper bite over a vein with possible direct intravenous envenoming, in a young male with no past history or family history suggestive of ischemic cardiac disease, from Sri Lanka. In addition, the possible mechanisms of myocardial ischemia in snake bite victims are also briefly discussed.
Importance of the awareness of physicians on the rare, yet fatal manifestations of snake envenoming is highlighted.
在南亚，罗素蝰蛇（Daboia russelli）咬伤会导致高发病率和死亡率。尽管蝰蛇咬伤受害者有多种临床表现，但心肌缺血事件很少见。
我们报告了一例独特的下壁ST段抬高型心肌梗死病例，该病例发生在一名来自斯里兰卡的年轻男性身上，他无既往史或家族史提示缺血性心脏病，因罗素蝰蛇咬伤静脉，可能直接经静脉注入毒液所致。此外，还简要讨论了蛇咬伤受害者心肌缺血的可能机制。
强调了医生认识蛇毒罕见但致命表现的重要性。
