Acute Myocarditis Due to Scorpion Sting in a 9-year-old Girl

Khalilian, Mohammad Reza; Zavareh, Seyyed Abdolhossein Tavallai; Norouzi, Ali Reza; Ghazavi, Mohammad; Goudarzi, Ali

doi:10.18502/crcp.v6i3.7123

Cited by 1 publication

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ventricular tachycardia was another important finding [ 71 , 75 , 76 , 84 ]. Laboratory findings associated with myocarditis were raised levels of cardiac troponin T [ 49 , 57 , 61 , 64 , 70 , 72 , 75 , 87 ], troponin I [ 34 , 41 , 42 , 45 , 46 , 49 , 58 , 60 , 65 , 66 , 74 , 76 , 78 , 79 , 81 , 82 , 84 – 86 , 88 , 91 , 92 ], unspecified-type troponin [ 63 , 67 , 80 , 82 ], CK-MB [ 14 , 18 , 34 , 37 , 40 , 45 , 46 , 49 , 52 , 57 , 59 , 62 , 66 , 68 , 70 , 74 – 76 , <...…”

Section: Resultsmentioning

confidence: 99%

“…Echocardiography findings in the studies included regional or global hypokinesia [ 13 , 26 , 34 , 36 – 38 , 45 , 48 , 51 , 52 , 54 , 57 , 59 , 61 , 62 , 67 , 71 , 72 , 75 – 77 , 79 , 81 , 83 – 87 , 90 , 91 ], chamber dilation [ 45 , 53 , 59 , 68 , 69 , 73 , 76 , 80 ], decreased left ventricular ejection fraction (LVEF) [ 13 , 14 , 18 , 26 , 34 , 36 – 41 , 45 , 46 , 48 , 49 , 51 – 55 , 57 – 75 , 77 – 93 ], decreased fractional shortening (FS) [ 37 , 38 , 41 , 48 , ...…”

Section: Resultsmentioning

confidence: 99%

“…The outcome of scorpion-related myocarditis was generally favorable, with a mortality rate of 7.3% (33 of 450). Almost all the studies that conducted serial echocardiography or hemodynamic studies to evaluate the progress of cardiac function reported either complete recovery (secondary LVEF>50%) [13,26,27,[34][35][36][37][38]45,46,51,53,54,[56][57][58][59][60][61][62][63][64][65][66][67][68][69]71,[73][74][75][76][77][79][80][81][82][85][86][87][88][89][90][91][92] or significant improvement of LVEF in survivors [66]. Even CMR findings were shown to be reverted to normal [63,...…”

Section: Outcomementioning

confidence: 99%

“…Hypertension, despite cardiac dysfunction, was another notable presentation reported in some cases[34,50,51,57,60,66,74,76,82,84]. Sinus tachycardia was the most common ECG reading[13,27,[34][35][36][37][38]43,44,47,53,[58][59][60][61][62][64][65][66]68,69,74,75,[77][78][79][80][81][82][83][84][85][86][87][88][89], followed by ST-T changes[13,27,34,[36][37]…”

mentioning

confidence: 99%

“…Ventricular tachycardia was another important finding[71,75,76,84]. Laboratory findings associated with myocarditis were raised levels of cardiac troponin T[49,57,61,64,70,72,75,87], troponin I[34,41,42,45,46,49,58,60,65,66,74,76,78,79,81,82,[84][85][86]88,91,92], unspecified-type troponin[63,67,80,82], CK-MB[14,18,34,37,40,45,46,49,52,57,59,62,66,68,70,74-76,78-82,84,87- 90,92], BNP[14], and NT-proBNP[49,52,61,63,75,85,87,88]. Leukocytosis, usually neutrophil dominant, was a prominent finding in all investigations which reported white blood cell count[14,…”

mentioning

confidence: 99%

See 4 more Smart Citations

Scorpion envenomation-associated myocarditis: A systematic review

et al. 2023

View full text Add to dashboard Cite

Background Scorpion envenomation is associated with several complications. One of the most serious complications is the cardiac involvement in the form of myocarditis that remains the main reason for mortalities associated with scorpion envenomation. The present review aims to elucidate clinical and paraclinical findings associated with scorpion-related myocarditis, and to explore different management strategies and subsequent outcomes. Methods We searched PubMed, Web of Science, Scopus, and Google Scholar for articles related to keywords of myocarditis associated with scorpion envenomation up to May 1, 2022. Each article was carefully reviewed by two independent researchers. In case of disagreement for inclusion, we sought a third researcher opinion. Results A total of 703 cases from 30 case reports and 34 case series were included in our review. Myocarditis associated with scorpion envenomation was usually reported in children presenting with cardiopulmonary symptoms including pulmonary edema (60.7%) and shock or hypotension (45.8%). The most common ECG findings are sinus tachycardia (82%) followed by ST-T changes (64.6%). The management typically included inotropes (especially dobutamine), prazosin, diuretics, nitroglycerine and digoxin, when indicated. Mechanical ventilation was required in 36.7% of the patients. Mortality in confirmed scorpion-related myocarditis cases is estimated at 7.3%. Almost all survived cases showed rapid recovery and improvement in the left ventricular function. Conclusion Even though myocarditis associated with scorpion envenomation is rare, it remains a serious and in some of cases a fatal consequence of scorpion sting. In case of relative presentations, particularly in envenomed children, diagnosis of myocarditis should be considered. Early screening using serial cardiac markers and echocardiography can guide the treatment. Prompt treatment that focuses on cardiogenic shock and pulmonary edema usually results in a favorable outcome.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Outcomementioning

confidence: 99%

mentioning

confidence: 99%

“…Ventricular tachycardia was another important finding[71,75,76,84]. Laboratory findings associated with myocarditis were raised levels of cardiac troponin T[49,57,61,64,70,72,75,87], troponin I[34,41,42,45,46,49,58,60,65,66,74,76,78,79,81,82,[84][85][86]88,91,92], unspecified-type troponin[63,67,80,82], CK-MB[14,18,34,37,40,45,46,49,52,57,59,62,66,68,70,74-76,78-82,84,87- 90,92], BNP[14], and NT-proBNP[49,52,61,63,75,85,87,88]. Leukocytosis, usually neutrophil dominant, was a prominent finding in all investigations which reported white blood cell count[14,…”

mentioning

confidence: 99%

See 3 more Smart Citations