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Acute Myocarditis After Black Widow Spider Bite: A Case Report.

A Piscopo1, F Massari1, P Scicchitano2

  • 1Cardiology Unit, Hospital "F. Perinei", Bari Local Health Authority (ASL Bari), Altamura, Bari, BA, Italy.

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|May 29, 2020
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Summary

Black widow spider (BWS) bites can rarely cause fatal myocarditis. Prompt diagnosis and monitoring are crucial for managing this severe, though infrequent, complication and improving patient outcomes.

Keywords:
Black widowHeart attackMyocarditisSpider

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Area of Science:

  • Cardiology
  • Toxicology
  • Internal Medicine

Background:

  • Black widow spider (BWS) bites can lead to severe systemic complications.
  • Myocarditis is a rare but potentially fatal complication following a BWS bite.
  • The prognostic significance of BWS-induced myocarditis remains unclear.

Purpose of the Study:

  • To report a case of acute myocarditis following a black widow spider bite.
  • To discuss the diagnostic challenges and clinical presentation of this rare condition.
  • To highlight the importance of monitoring and management strategies for BWS-induced myocarditis.

Main Methods:

  • Case report of a 50-year-old male patient.
  • Clinical presentation, electrocardiographic and echocardiographic evaluations.
  • Cardiac magnetic resonance imaging and coronary angiography.
  • Intensive care unit monitoring and therapeutic interventions.

Main Results:

  • The patient presented with acute myocarditis post-BWS bite, requiring ICU admission.
  • Despite initial therapeutic success, electrocardiographic and echocardiographic signs worsened.
  • Cardiac imaging revealed no significant structural alterations; gradual improvement observed.
  • Patient discharged after 12 days without complications.

Conclusions:

  • Acute myocarditis is an infrequent but potentially lethal complication of BWS bites.
  • Accurate and timely diagnosis is essential for appropriate patient management.
  • Vigilant monitoring and targeted therapies can mitigate risks associated with BWS-induced myocarditis.