Myocardial Infarction After Hump-Nosed Viper Bite
Author Information
Author(s): Wanninayake W. M. D. A. S., Aponso Tilan, Seneviratne Manohari, Dissanayake Dhanapala
Primary Institution: Medical Unit, National Hospital of Sri Lanka, Colombo, Sri Lanka
Hypothesis
Can a hump-nosed viper bite lead to delayed cardiac complications such as myocardial infarction?
Conclusion
This case highlights a rare occurrence of myocardial infarction following a hump-nosed viper bite, occurring three days post-envenomation.
Supporting Evidence
- The patient presented with chest tightness and was diagnosed with type 2 myocardial infarction.
- CT coronary angiography revealed normal coronary arteries.
- Follow-up echocardiogram showed complete recovery of cardiac function.
Takeaway
A woman got bitten by a snake and, three days later, her heart got sick because of the snake's poison. But after some help, she got better!
Methodology
The patient was treated with supportive therapy, including loop diuretics and oxygen, and underwent CT coronary angiography and echocardiography.
Limitations
The exact mechanism of myocardial injury is poorly understood, and further studies are needed.
Participant Demographics
39-year-old female, previously healthy.
Digital Object Identifier (DOI)
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