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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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