Bayar Nermin, Küçükseymen Selçuk, Yüksel Isa Oner, Arslan Sakir
Department of Cardiology, Antalya Training and Research Hospital, Antalya, Turkey.
Turk Kardiyol Dern Ars. 2013 Oct;41(7):629-32. doi: 10.5543/tkda.2013.36459.
Scorpion stings are usually benign, but especially cardiovascular death has been reported due to complications. Local reactions at the site of the sting as well as organ dysfunction may be due to the effects of a systemic toxin. As a result of the toxic effects of the scorpion toxin on the cardiovascular system, hypertension, arrhythmia, myocarditis, acute heart failure, and pulmonary edema may occur. In this report, we present a 49-year-old male patient who was admitted to our hospital with acute pulmonary edema and respiratory distress following scorpion sting at the wrist. In this case, detection of diffuse left ventricular systolic dysfunction on presentation, immediate improvement with medical treatment, and increased troponin levels in the absence of critical stenosis on coronary angiography suggest the diagnosis of acute myocarditis associated with scorpion bite.
蝎子蜇伤通常是良性的,但据报道,其并发症可导致死亡,尤其是心血管方面的死亡。蜇伤部位的局部反应以及器官功能障碍可能是由一种全身性毒素的作用引起的。由于蝎子毒素对心血管系统的毒性作用,可能会出现高血压、心律失常、心肌炎、急性心力衰竭和肺水肿。在本报告中,我们介绍了一名49岁男性患者,他因手腕被蝎子蜇伤后出现急性肺水肿和呼吸窘迫而入住我院。在该病例中,患者就诊时发现弥漫性左心室收缩功能障碍,经药物治疗后立即改善,且冠状动脉造影无严重狭窄但肌钙蛋白水平升高,提示诊断为蝎子蜇伤相关的急性心肌炎。