Ismail Montaser, Asaad Nidal, Suwaidi Jassim Al, Kawari Maryam Al, Salam Amar
Cardiology & Cardiac Surgery Department, Hamad Medical Corporation, Doha, Qatar.
Glob Cardiol Sci Pract. 2016 Mar 31;2016(1):e201610. doi: 10.21542/gcsp.2016.10.
To present a case of a serious manifestation of scorpion sting, which was not reported before in Qatar, review the literature, and compare with previously reported similar cases. A young male patient was admitted to CCU with a clinical picture of acute toxic myocarditis and cardiogenic shock with abnormal ECG and elevated cardiac markers after a scorpion sting to his right big toe. Thorough investigations, including echocardiography, cardiac MRI and right heart catheterization, supported the diagnosis. Coronary angiography was normal. Patient was managed conservatively with supportive measures, mechanical ventilation, IV fluids, inotropic agents, steroids, antibiotics and Prazocin. Over 9 days of hospital course, patient gradually improved, was successfully extubated, and was discharged in a stable condition. Toxic myocarditis (with myocardial damage), pulmonary edema and cardiogenic shock are reported manifestations of scorpion venom intoxication.
报告一例在卡塔尔此前未报道过的严重蝎蜇伤表现病例，回顾相关文献，并与之前报道的类似病例进行比较。一名年轻男性患者因右大脚趾被蝎蜇伤后出现急性中毒性心肌炎和心源性休克的临床表现、心电图异常及心肌标志物升高而入住冠心病监护病房。包括超声心动图、心脏磁共振成像和右心导管检查在内的全面检查支持了诊断。冠状动脉造影正常。患者接受了保守治疗，包括支持措施、机械通气、静脉输液、强心剂、类固醇、抗生素和哌唑嗪。在住院9天的过程中，患者逐渐好转，成功脱机，并在病情稳定后出院。中毒性心肌炎（伴有心肌损伤）、肺水肿和心源性休克是蝎毒中毒的报道表现。
