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Year 2017, Volume: 8 Issue: 1, 10 - 12, 01.01.2017

Abstract

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References

  • Yılmaz F, Arslan ED, Demir A, Kavalcı C, Durdu T, Yılmaz MS, et al. epide- miologic and clinical characteristics and outcomes of scorpion sting in the southeastern region of Turkey. Ulus Travma Acil Cerrahi Derg 2013; 19: 417-22. [CrossRef]
  • Al B, Yılmaz DA, Söğut Ö, Orak M, Üstündağ M, Bokurt S. epidemiologi- cal, clinical characteristics and outcome of scorpion envenomation in Batman, Turkey: An analysis of 120 cases. JAEM 2009; 8: 9-14.
  • Bawaskar HS, Bawaskar PH. Scorpion sting: update. J Assoc Physicians India 2012; 60: 46-55.
  • Meki AR, Mohamed ZM, Mohey El-deen HM. Significance of assessment of serum cardiac troponin I and interleukin-8 in scorpion envenomed children. Toxicon 2003; 41: 129-37. [CrossRef]
  • Sofer S. Scorpion envenomation. Intensive Care Med 1995; 21: 626-8. [CrossRef]
  • Gueron M, Adolph RJ, Grupp IL, Gabel M, Grupp G, Fowler NO. Hemody- namic and myocardial consequences of scorpion venom. Am J Cardiol 1980; 45: 979-86. [CrossRef]
  • Cupo P, Figueiredo AB, Filho AP, Pintya AO, Tavares Jşnior GA, Caligaris F, et al. Acute left ventricular dysfunction of severe scorpion envenom- ation is related to myocardial perfusion disturbance. Int J Cardiol 2007; 116: 98-106. [CrossRef]
  • Kumar CM, Prasad SV. Echocardiologic evaluation and follow-up of cardiovascular complications in children with scorpion sting in coastal South India. Indian J Crit Care Med 2015; 19: 42-6. [CrossRef]
  • Gupta BD, Parakh M, Purohit A. Management of scorpion sting: prazosin or dobutamine. J Trop Pediatr 2010; 56: 115-8. [CrossRef]
  • O’Connor A, Ruha AM. Clinical Course of Bark Scorpion Envenomation Managed without Antivenom. J Med Toxicol 2012; 8: 258-62. [CrossRef]

A Case of Acute Myocarditis and Rhabdomyolysis after a Scorpion Sting

Year 2017, Volume: 8 Issue: 1, 10 - 12, 01.01.2017

Abstract

Introduction: Scorpion stings continue to be a current public health problem in tropical regions of the world. Local effects are usually seen, but fatal cardiovascular complications may occur, albeit rarely, from scorpion stings. The purpose of this case is to emphasize that rhabdomyolysis and myocarditis can occur in patients admitted to a hospital with a scorpion sting.Case Report: A 30-year-old male patient presented to our emergency department (ED) with complaints of pain and redness in the bite site after being stung by a scorpion. His blood pressure was 180/100 mmHg and heart rate was 130/min. Electrocardiography (ECG) showed a sinus tachycardia. Laboratory tests revealed the following values: creatinine: 1.71 mg/dL, creatinin kinase (CK): 2129 U/L, creatinin kinase–myocardial band (CK-MB): 43.24 ng/mL, and troponin: 22.59 ng/mL. After catheterization of the bladder, dark brown urine was seen. There were no pathological findings in coronary angiography, but the left ventricular ejection fraction was detected as 45%. The clinically stable patient was discharged on the fifth day of hospitalization. There were no abnormal findings in the latest tests of laboratory parameters.Conclusion: Scorpion stings can cause death due to toxic effects on the cardiovascular system. Observations for possible complications from a scorpion sting, such as the possibility of myocarditis, should be kept in mind in patients admitted to the ED with complaints of a scorpion sting

References

  • Yılmaz F, Arslan ED, Demir A, Kavalcı C, Durdu T, Yılmaz MS, et al. epide- miologic and clinical characteristics and outcomes of scorpion sting in the southeastern region of Turkey. Ulus Travma Acil Cerrahi Derg 2013; 19: 417-22. [CrossRef]
  • Al B, Yılmaz DA, Söğut Ö, Orak M, Üstündağ M, Bokurt S. epidemiologi- cal, clinical characteristics and outcome of scorpion envenomation in Batman, Turkey: An analysis of 120 cases. JAEM 2009; 8: 9-14.
  • Bawaskar HS, Bawaskar PH. Scorpion sting: update. J Assoc Physicians India 2012; 60: 46-55.
  • Meki AR, Mohamed ZM, Mohey El-deen HM. Significance of assessment of serum cardiac troponin I and interleukin-8 in scorpion envenomed children. Toxicon 2003; 41: 129-37. [CrossRef]
  • Sofer S. Scorpion envenomation. Intensive Care Med 1995; 21: 626-8. [CrossRef]
  • Gueron M, Adolph RJ, Grupp IL, Gabel M, Grupp G, Fowler NO. Hemody- namic and myocardial consequences of scorpion venom. Am J Cardiol 1980; 45: 979-86. [CrossRef]
  • Cupo P, Figueiredo AB, Filho AP, Pintya AO, Tavares Jşnior GA, Caligaris F, et al. Acute left ventricular dysfunction of severe scorpion envenom- ation is related to myocardial perfusion disturbance. Int J Cardiol 2007; 116: 98-106. [CrossRef]
  • Kumar CM, Prasad SV. Echocardiologic evaluation and follow-up of cardiovascular complications in children with scorpion sting in coastal South India. Indian J Crit Care Med 2015; 19: 42-6. [CrossRef]
  • Gupta BD, Parakh M, Purohit A. Management of scorpion sting: prazosin or dobutamine. J Trop Pediatr 2010; 56: 115-8. [CrossRef]
  • O’Connor A, Ruha AM. Clinical Course of Bark Scorpion Envenomation Managed without Antivenom. J Med Toxicol 2012; 8: 258-62. [CrossRef]
There are 10 citations in total.

Details

Other ID JA67EK88BA
Journal Section Case Report
Authors

Süleyman Ersoy This is me

Fevzi Yılmaz

Bedriye Müge Sönmez This is me

Ali Yücel Kara

Aydın Güçlü This is me

Publication Date January 1, 2017
Submission Date January 1, 2017
Published in Issue Year 2017 Volume: 8 Issue: 1

Cite

APA Ersoy, S., Yılmaz, F., Sönmez, B. M., Kara, A. Y., et al. (2017). A Case of Acute Myocarditis and Rhabdomyolysis after a Scorpion Sting. Journal of Emergency Medicine Case Reports, 8(1), 10-12.
AMA Ersoy S, Yılmaz F, Sönmez BM, Kara AY, Güçlü A. A Case of Acute Myocarditis and Rhabdomyolysis after a Scorpion Sting. Journal of Emergency Medicine Case Reports. January 2017;8(1):10-12.
Chicago Ersoy, Süleyman, Fevzi Yılmaz, Bedriye Müge Sönmez, Ali Yücel Kara, and Aydın Güçlü. “A Case of Acute Myocarditis and Rhabdomyolysis After a Scorpion Sting”. Journal of Emergency Medicine Case Reports 8, no. 1 (January 2017): 10-12.
EndNote Ersoy S, Yılmaz F, Sönmez BM, Kara AY, Güçlü A (January 1, 2017) A Case of Acute Myocarditis and Rhabdomyolysis after a Scorpion Sting. Journal of Emergency Medicine Case Reports 8 1 10–12.
IEEE S. Ersoy, F. Yılmaz, B. M. Sönmez, A. Y. Kara, and A. Güçlü, “A Case of Acute Myocarditis and Rhabdomyolysis after a Scorpion Sting”, Journal of Emergency Medicine Case Reports, vol. 8, no. 1, pp. 10–12, 2017.
ISNAD Ersoy, Süleyman et al. “A Case of Acute Myocarditis and Rhabdomyolysis After a Scorpion Sting”. Journal of Emergency Medicine Case Reports 8/1 (January 2017), 10-12.
JAMA Ersoy S, Yılmaz F, Sönmez BM, Kara AY, Güçlü A. A Case of Acute Myocarditis and Rhabdomyolysis after a Scorpion Sting. Journal of Emergency Medicine Case Reports. 2017;8:10–12.
MLA Ersoy, Süleyman et al. “A Case of Acute Myocarditis and Rhabdomyolysis After a Scorpion Sting”. Journal of Emergency Medicine Case Reports, vol. 8, no. 1, 2017, pp. 10-12.
Vancouver Ersoy S, Yılmaz F, Sönmez BM, Kara AY, Güçlü A. A Case of Acute Myocarditis and Rhabdomyolysis after a Scorpion Sting. Journal of Emergency Medicine Case Reports. 2017;8(1):10-2.