Üreyen Çağin Mustafa, Arslan Şakir, Baş Cem Yunus
Department of Cardiology, Antalya Education and Research Hospital, Varlık mah. Kazımkarabekir Caddesi, Soğuksu, Muratpaşa, 07100, Antalya, Turkey.
Wien Klin Wochenschr. 2015 Jul;127(13-14):577-9. doi: 10.1007/s00508-015-0801-z. Epub 2015 May 21.
Centipede bites have been reported to cause localized and/or systemic symptoms including local pain, erythema and edema, nausea and vomiting, palpitations, headache, lymphadenopathy, and rhabdomyolysis. However, acute myocardial infarction due to centipede envenomation is reported in only three cases in English medical literature.We present a case of 31-year-old male bitten by a golden colored centipede leading to myocardial infarction and cardiopulmonary arrest which is seen very rarely. The patient was admitted to emergency department with a swollen and painful right foot. However, typical chest pain became the major complaint and cardiopulmonary arrest developed while electrocardiography was being obtained. The patient was resuscitated successfully for 5 min and acute infero-posterolateral myocardial infarction was detected on electrocardiography.
据报道，蜈蚣咬伤可导致局部和/或全身症状，包括局部疼痛、红斑和水肿、恶心和呕吐、心悸、头痛、淋巴结病和横纹肌溶解。然而，英文医学文献中仅报道了3例因蜈蚣毒液中毒导致急性心肌梗死的病例。我们报告一例31岁男性被金色蜈蚣咬伤后导致心肌梗死和心肺骤停的病例，这种情况非常罕见。患者因右脚肿胀疼痛被收入急诊科。然而，典型的胸痛成为主要症状，在进行心电图检查时发生了心肺骤停。患者成功复苏5分钟，心电图检测发现急性下后壁心肌梗死。
