Abstract
This is the first known case report of electrocardiographic (ECG) changes suggestive of coronary vasospasm following a centipede envenomation. A 60-year-old man presented to the emergency department (ED) 1 hour after being stung by a 12-cm centipede. He complained of right great toe pain that did not radiate to his leg. The patient had no known ischemic heart disease. He did not describe any exertional symptoms but admitted experiencing weakness. During the ED course, concurrent with obtaining peripheral intravenous access, the patient experienced diaphoresis, dizziness, hypotension, and bradycardia. His ECG showed new ST-T wave changes, which suggested an acute ischemic process. The patient's blood pressure was 89/60 mm Hg, his pulse rate was 47 beats/min, and his respiration rate was 28 breaths/min. In the following hours, ECG findings returned to baseline. His blood pressure improved gradually with fluid resuscitation after approximately 5 hours. Cardiac markers returned to normal in the 13th hour after the event, and the patient underwent exercise stress testing, which was negative. The patient was discharged with cardiology follow-up. Adult patients with centipede envenomation should be closely monitored in anticipation of...Continue Reading
Citations
Mar 22, 2006·Emergency Medicine Journal : EMJ·A YildizA Akilli
Jul 31, 2009·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Chung-Hsien ChaouChih-Chuan Lin
Jul 4, 2009·Chirurgie de la main·A-P UzelA Korsaga
Dec 25, 2008·Toxicon : Official Journal of the International Society on Toxinology·Marta M AntoniazziKátia C Barbaro
Aug 19, 2008·Toxicon : Official Journal of the International Society on Toxinology·C R MedeirosK C Barbaro
Jul 1, 2008·Toxicon : Official Journal of the International Society on Toxinology·Marília B MaltaKatia C Barbaro
Mar 29, 2014·International Journal of Dermatology·Stefano VeraldiFrancesca Gaiani
Jan 18, 2006·International Journal of Cardiology·Intisar MirzaItalo Porto
Jan 25, 2011·Toxicon : Official Journal of the International Society on Toxinology·Eivind A B Undheim, Glenn F King
May 23, 2015·Wiener klinische Wochenschrift·Çağin Mustafa ÜreyenCem Yunus Baş
Dec 3, 2011·Journal of Cardiovascular Disease Research·Subramanian SenthilkumaranPonniah Thirumalaikolundusubramanian
Nov 24, 2017·Scientific Reports·Sihe KangShilin Chen
Jun 27, 2014·BMJ Case Reports·Stephanie Bailey, Tristan Withers
Apr 9, 2020·Toxins·YanYan ChuRiLei Yu
Jan 24, 2018·Proceedings of the National Academy of Sciences of the United States of America·Lei LuoRen Lai
Aug 6, 2019·Evidence-based Complementary and Alternative Medicine : ECAM·Tiechao JiangHui Zhou