希腊一例蜘蛛叮咬后发生的短暂性应激性心肌病：病例报告
Transient reverse takotsubo cardiomyopathy following a spider bite in Greece: a case report.
作者信息
Alexakis Lykourgos-Christos, Arapi Sophia, Stefanou Ioannis, Gargalianos Panagiotis, Astriti Myrto
机构信息
From the 1st Department of Internal Medicine (LCA, IS, PG, MA); and Department of Cardiology (SA), General Hospital of Athens "G.Gennimatas," Athens, Greece.
出版信息
Medicine (Baltimore). 2015 Feb;94(5):e457. doi: 10.1097/MD.0000000000000457.
Black widow spider is endemic in the Mediterranean area and although envenomations are rare, may occasionally lead to death. We present a case of a 64-year-old female developing a rare variant of takotsubo, stress-induced, cardiomyopathy after a spider bite. This resulted in acute heart failure within 24 hours of the bite. With medical treatment and supportive care, the patient's clinical condition improved. Reverse takotsubo cardiomyopathy was diagnosed by echocardiography, which was transient. Clinical and echocardiographic findings have been completely resolved on follow-up 46 days later. Reverse takotsubo cardiomyopathy has not been yet described following a spider bite. Doctors in the emergency department of endemic countries should be familiar with this potential complication.
黑寡妇蜘蛛在地中海地区为地方病，尽管中毒情况罕见，但偶尔可能导致死亡。我们报告一例64岁女性在蜘蛛叮咬后发生一种罕见的应激性心肌病——章鱼壶心肌病变异型。这在叮咬后24小时内导致了急性心力衰竭。经过药物治疗和支持性护理，患者的临床状况有所改善。通过超声心动图诊断为反向型章鱼壶心肌病，这种情况是短暂的。46天后随访时，临床和超声心动图检查结果已完全恢复。蜘蛛叮咬后导致反向型章鱼壶心肌病的情况此前尚未有过描述。地方病流行国家急诊科的医生应熟悉这种潜在并发症。
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