TY  - JOUR
PY  - 2013//
TI  - Acute myocardial infarction following scorpion sting in a case with obstructive coronary artery disease
JO  - BMJ case reports
A1  - Patra, Soumya
A1  - Satish, K.
A1  - Singla, Vivek
A1  - Ks, Ravindranath
SP  - 2013
EP  - 009865
VL  - 2013
IS  - 
N2  - The occurrence of an acute myocardial infarction (MI) following a scorpion sting has been very rarely reported in the previous literature. Possible pathogenetic mechanisms include severe hypotension due to hypovolaemic shock and coronary spasm with subsequent thrombosis of coronary vessels developed after the release of vasoactive, inflammatory and thrombogenic substances contained in the scorpion venom. All of the previously reported cases had normal coronary angiogram. We report a case of a 65-year-old woman who presented with severe scorpion sting and was treated with prazosin. But a few hours later, she developed acute anterior wall MI. Coronary angiogram revealed the presence of significant stenosis in coronary arteries. As acute MI owing to significant coronary artery disease can be evident after severe scorpion envenomation, so every case of acute coronary syndrome following scorpion sting needs early diagnosis, thorough cardiovascular evaluation and appropriate treatment.<p />  <p>Language: en</p>
LA  - en
SN  - 1757-790X
UR  - http://dx.doi.org/10.1136/bcr-2013-009865
ID  - ref1
ER  -