{"title":"蝎子引发的急性冠状动脉综合征:刺痛并发症。","authors":"Arun Katwaroo, Kristianne Austin, Alexandria Bharat, Varun Chatoo, Priya Ramcharan, Valmiki Seecheran, Rajeev Seecheran, Stanley Giddings, Naveen Anand Seecheran","doi":"10.1177/23247096241261255","DOIUrl":null,"url":null,"abstract":"<p><p>The <i>Tityus trinitatis</i>, a black scorpion species endemic to the fauna of Trinidad, has been implicated in envenomation with devastating clinical sequelae such as acute pancreatitis and major adverse cardiovascular events. We present the first in-Caribbean case of a 59-year-old Caribbean South Asian male with human immunodeficiency virus who presented with a non-ST-segment-elevation acute coronary syndrome after being stung, which was managed with comprehensive, guideline-directed medical therapy. The clinician should be cognizant of scorpion-induced acute coronary syndrome (ACS) as a potential sequela of envenomation and its clinical management.</p>","PeriodicalId":16198,"journal":{"name":"Journal of investigative medicine high impact case reports","volume":null,"pages":null},"PeriodicalIF":0.9000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11185030/pdf/","citationCount":"0","resultStr":"{\"title\":\"Scorpion-Induced Acute Coronary Syndrome: A Stinging Complication.\",\"authors\":\"Arun Katwaroo, Kristianne Austin, Alexandria Bharat, Varun Chatoo, Priya Ramcharan, Valmiki Seecheran, Rajeev Seecheran, Stanley Giddings, Naveen Anand Seecheran\",\"doi\":\"10.1177/23247096241261255\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The <i>Tityus trinitatis</i>, a black scorpion species endemic to the fauna of Trinidad, has been implicated in envenomation with devastating clinical sequelae such as acute pancreatitis and major adverse cardiovascular events. We present the first in-Caribbean case of a 59-year-old Caribbean South Asian male with human immunodeficiency virus who presented with a non-ST-segment-elevation acute coronary syndrome after being stung, which was managed with comprehensive, guideline-directed medical therapy. The clinician should be cognizant of scorpion-induced acute coronary syndrome (ACS) as a potential sequela of envenomation and its clinical management.</p>\",\"PeriodicalId\":16198,\"journal\":{\"name\":\"Journal of investigative medicine high impact case reports\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11185030/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of investigative medicine high impact case reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/23247096241261255\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of investigative medicine high impact case reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/23247096241261255","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
摘要
Tityus trinitatis 是特立尼达岛动物区系中特有的一种黑蝎子,被蝎子蜇伤后会引起严重的临床后遗症,如急性胰腺炎和心血管疾病。我们介绍了加勒比海地区的首例病例,患者是一名 59 岁的加勒比海南亚裔男性,患有人类免疫缺陷病毒,在被蜇伤后出现非 ST 段抬高的急性冠状动脉综合征,经指导性综合药物治疗后病情得到控制。临床医生应该认识到蝎子诱发的急性冠状动脉综合征(ACS)是一种潜在的中毒后遗症,并对其进行临床治疗。
Scorpion-Induced Acute Coronary Syndrome: A Stinging Complication.
The Tityus trinitatis, a black scorpion species endemic to the fauna of Trinidad, has been implicated in envenomation with devastating clinical sequelae such as acute pancreatitis and major adverse cardiovascular events. We present the first in-Caribbean case of a 59-year-old Caribbean South Asian male with human immunodeficiency virus who presented with a non-ST-segment-elevation acute coronary syndrome after being stung, which was managed with comprehensive, guideline-directed medical therapy. The clinician should be cognizant of scorpion-induced acute coronary syndrome (ACS) as a potential sequela of envenomation and its clinical management.
期刊介绍:
The AFMR is committed to enhancing the training and career development of our members and to furthering its mission to facilitate the conduct of research to improve medical care. Case reports represent an important avenue for trainees (interns, residents, and fellows) and early-stage faculty to demonstrate productive, scholarly activity.