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Myocardial damage after spider bite (Latrodectus tredecimguttatus) in a 16-year-old patient
G Pulignano1, D Del Sindaco, M Giovannini
1Department of Cardiology, S. Camillo Hospital, Rome.
Abstract:
The case of a 16-year-old patient with L. tredecimguttatus poisoning complicated by myocardial damage is reported. Symptoms (typical chest pain), electrocardiographic (ST-T changes in precordial leads) and echocardiographic (akinesia of interventricular septum with depressed left ventricular function) features and laboratory findings (increased myocardial enzymes) are described.
Insights
A 16-year-old experienced myocardial damage from Loxosceles tredecimguttatus (brown recluse spider) envenomation. This case highlights cardiac complications from L. tredecimguttatus poisoning in adolescents.
Area of Science:
- Toxicology
- Cardiology
- Dermatology
Background:
- Loxosceles tredecimguttatus (brown recluse spider) envenomation is a significant concern.
- Myocardial damage is a rare but serious complication of spider bites.
Observation:
- A 16-year-old patient presented with symptoms consistent with L. tredecimguttatus poisoning.
- Clinical presentation included chest pain, electrocardiographic ST-T changes, and echocardiographic evidence of left ventricular dysfunction.
Findings:
- Laboratory tests revealed elevated myocardial enzymes, confirming cardiac muscle injury.
- Echocardiography showed akinesia of the interventricular septum and reduced left ventricular function.
Implications:
- This case underscores the potential for severe cardiac complications in adolescents following L. tredecimguttatus envenomation.
- Early recognition and કાર્ડियोलॉजिकल monitoring are crucial for managing L. tredecimguttatus poisoning.