Acute ST-segment elevation myocardial infarction from a centipede bite
Subramanian Senthilkumaran1, Ramachandran Meenakshisundaram, Andrew D Michaels
1Sri Gokulam Hospitals and Research Institute, Salem, Tamil Nadu, India.
Abstract:
Acute myocardial infarction (AMI) following a centipede bite has been very rarely reported. Here, we describe a 22 year-old man who had ST-segment elevation AMI after a centipede bite. He presented with typical chest pain, electro and echocardiographic abnormalities, and elevated cardiac enzymes with normal coronary angiography. The probable mechanisms were described. Practitioners treating centipede bites shall not consider it lightly, as centipede envenomation may produce a variety of systemic and local manifestations in susceptible individuals.
Related Concept Videos
Acute Coronary Syndrome I: Introduction
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
Acute Coronary Syndrome III: Diagnostic Studies
Endocarditis II: Clinical Features of Infective Endocarditis
Diphtheria
Myocarditis II: Clinical Features and Diagnostic Tests

