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Mechanisms Involving Myocardial Injury in Tropical Stings and Bites
Thirunavukarasu Kumanan1, Mahesan Guruparan2, Ratnasamy Vithiya1
1University Medical Unit, Teaching Hospital Jaffna, Jaffna, Sri Lanka.
Abstract:
It is known that a number of toxic substances produce myocardial injury by several mechanisms involving interruption of coronary blood flow due to stimulation of clotting mechanism and coronary vasospasm. Number of toxic substances may cause direct myocardial toxicity independent of coronary blood flow. Acute myocardial injury due to stings and bites is a rare entity and not well understood. Here we illustrate a case of myocardial injury due to Russell's viper envenomation.
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