Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/47556
Title: Coexistence of Rhabdomyolysis, Myocarditis and Arrhythmia after Spider Bite: A Case Report
Authors: Yılmaz, Münevver
Akçay, Gürbüz
Gürses, Dolunay.
Keywords: Arrhythmia
Black widow
Case report
Myocarditis
Rhabdomyolysis
Spider bite
amino terminal pro brain natriuretic peptide
brain natriuretic peptide
creatine kinase
creatine kinase myocardial band
dexamethasone
diazepam
enalapril
furosemide
infusion fluid
midazolam
paracetamol
pheniramine
troponin
unclassified drug
spider venom
ankle
aortic regurgitation
Article
brain
case report
child
clinical article
creatine kinase blood level
echocardiography
electrocardiogram
electrocardiography
emergency ward
eyelid edema
female
follow up
gene expression
heart arrhythmia
heart left ventricle
heart ventricle extrasystole
Holter monitoring
human
laboratory test
mitral valve regurgitation
myocarditis
outpatient
pain
pain severity
physical examination
protein expression
rhabdomyolysis
school child
spider bite
T wave
tetanus prophylaxis
tremor
animal
complication
heart arrhythmia
Latrodectus
myocarditis
spider bite
Animals
Arrhythmias, Cardiac
Black Widow Spider
Female
Humans
Myocarditis
Rhabdomyolysis
Spider Bites
Spider Venoms
Publisher: Oxford University Press
Abstract: Background: Rhabdomyolysis after spider bite has been reported in a small number of patients, and myocarditis in even fewer. However, arrhythmia associated with latrodectism in children has not been described in the literature to date. Case summary: A girl presented approximately 4.5 h after being bitten on the left ankle by a black spider. Two unifocal premature ventricular contractions (PVCs) were observed on the electrocardiogram. In laboratory tests, creatine kinase was elevated. On day 2, levels of troponin, pro-brain and natriuretic peptide were elevated. Electrocardiogram revealed inverted and biphasic T waves. Echocardiography revealed mild left ventricular dilation, mitral and aortic valve regurgitation. Holter electrocardiogram showed PVCs. Her laboratory and echocardiography findings completely normalized after discharge, and no arrhythmia was observed on the Holter electrocardiogram during outpatient follow-up. Conclusion: Although spider bites are uncommon, they can cause serious systemic effects. These patients should be evaluated for arrhythmia, rhabdomyolysis and myocarditis. © 2022 The Author(s).Published by Oxford University Press. All rights reserved.
URI: https://doi.org/10.1093/tropej/fmac027
https://hdl.handle.net/11499/47556
ISSN: 0142-6338
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection

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