Zouizra Zahira, Benbakh Soukaina, Karimi Salwa El, Boumzebra Drissi
Cardiovascular Surgery Department, Mohammed VI University Hospital, Marrakesh, Morocco.
World J Pediatr Congenit Heart Surg. 2020 May;11(3):374-376. doi: 10.1177/2150135120903696.
Scorpion sting envenoming is a common pediatric emergency in the Moroccan southern areas. Cardiomyopathy is the most common cardiovascular manifestation of envenoming, resulting from the stimulation of the sympathetic nervous system by the venom or from the direct effect of the venom toxins on the myocardium. Rare cases of infective endocarditis following a scorpion sting have been reported in the literature. We report a case of tricuspid valve infective endocarditis following a scorpion sting in a previously healthy eight-year-old child. The patient initially was managed medically before undergoing tricuspid valve replacement with a bioprosthesis. The postoperative course was uneventful with a full recovery.
蝎子蜇伤中毒是摩洛哥南部地区常见的儿科急症。心肌病是中毒最常见的心血管表现,其由毒液刺激交感神经系统或毒液毒素对心肌的直接作用所致。文献中曾报道过罕见的蝎子蜇伤后感染性心内膜炎病例。我们报告一例此前健康的8岁儿童蝎子蜇伤后发生三尖瓣感染性心内膜炎的病例。该患者最初接受药物治疗,之后接受了生物瓣三尖瓣置换术。术后过程顺利,患者完全康复。