Acute myocarditis and pulmonary edema due to scorpion sting

Authors

  • Montaser Ismail Cardiology & Cardiac Surgery Department, Hamad Medical Corporation, Doha, Qatar
  • Nidal Assad Cardiology & Cardiac Surgery Department, Hamad Medical Corporation, Doha, Qatar
  • Jassim Al Suwaidi Cardiology & Cardiac Surgery Department, Hamad Medical Corporation, Doha, Qatar
  • Maryam Al Kawari Cardiology & Cardiac Surgery Department, Hamad Medical Corporation, Doha, Qatar
  • Amar Salam Cardiology & Cardiac Surgery Department, Hamad Medical Corporation, Doha, Qatar

DOI:

https://doi.org/10.21542/gcsp.2016.10

Abstract

Objective: 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.


Case presentation and intervention: 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.


Conclusion: Toxic myocarditis (with myocardial damage), pulmonary edema and cardiogenic shock are reported manifestations of scorpion venom intoxication. 

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Published

2016-06-06

Issue

Vol. 2016 No. 1 (2016)

Section

Images in cardiology

License

This is an open access article distributed under the terms of the Creative Commons Attribution license CC BY 4.0, which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited.