Heckmann X, Marty C, Starace F, Louembé J-D, Larréché S
Service des urgences, centre hospitalier de l'Ouest-Guyanais, 97393, Saint-Laurent-du-Maroni, Guyane française, France.
Centre de santé de la Croix-Rouge française, 97300, Cayenne, Guyane française, France.
Bull Soc Pathol Exot. 2017 Oct;110(4):276-280. doi: 10.1007/s13149-017-0567-9. Epub 2017 Aug 14.
We report here the first known envenomation by Micrurus psyches, the so-called Carib coral snake, which occurred on April 2016 in the surroundings of Saint-Laurent-du-Maroni, Western French Guiana. Besides local neurological symptoms, it featured unexpected electrocardiogram changes, which were emergence of a first-degree atrioventricular block and biphasic T waves, both transient. NewWorld elapid venoms were not known for being cardiotoxic so far. The possible reasons of this cardiac injury are discussed.
我们在此报告首例已知的被所谓的加勒比珊瑚蛇（Micrurus psyches）咬伤中毒事件，该事件于2016年4月发生在法属圭亚那西部圣洛朗-迪马罗尼周边地区。除了局部神经症状外，还出现了意外的心电图变化，即一度房室传导阻滞和双相T波的出现，两者均为一过性。到目前为止，新大陆眼镜蛇科毒液一直被认为没有心脏毒性。本文讨论了这种心脏损伤的可能原因。
