Scorpion-Induced Acute Coronary Syndrome: A Stinging Complication.
Arun KatwarooKristianne AustinAlexandria BharatVarun ChatooPriya RamcharanValmiki SeecheranRajeev SeecheranStanley GiddingsNaveen Anand SeecheranPublished in: Journal of investigative medicine high impact case reports (2024)
The Tityus trinitatis , a black scorpion species endemic to the fauna of Trinidad, has been implicated in envenomation with devastating clinical sequelae such as acute pancreatitis and major adverse cardiovascular events. We present the first in-Caribbean case of a 59-year-old Caribbean South Asian male with human immunodeficiency virus who presented with a non-ST-segment-elevation acute coronary syndrome after being stung, which was managed with comprehensive, guideline-directed medical therapy. The clinician should be cognizant of scorpion-induced acute coronary syndrome (ACS) as a potential sequela of envenomation and its clinical management.
Keyphrases
- acute coronary syndrome
- human immunodeficiency virus
- cardiovascular events
- percutaneous coronary intervention
- antiplatelet therapy
- high glucose
- diabetic rats
- coronary artery disease
- hepatitis c virus
- antiretroviral therapy
- drug induced
- healthcare
- hiv infected
- endothelial cells
- type diabetes
- emergency department
- oxidative stress
- mesenchymal stem cells
- adverse drug
- smoking cessation