Kounis Syndrome Following Hypnale zara (Hump-Nosed Pit Viper) Bite in Sri Lanka
| Autor: | P.E. Anusha Nishanthi Ranathunga, R.M.M.K. Namal Rathnayaka, Senanayake A. M. Kularatne |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
VIPeR biology business.industry Public Health Environmental and Occupational Health Pit viper 030208 emergency & critical care medicine Kounis syndrome 030229 sport sciences medicine.disease biology.organism_classification Troponin 03 medical and health sciences 0302 clinical medicine Coronary vasospasm Internal medicine Troponin I Emergency Medicine Cardiology medicine biology.protein ST segment Myocardial infarction business |
| Zdroj: | Wilderness & Environmental Medicine. 32:210-216 |
| ISSN: | 1080-6032 |
| DOI: | 10.1016/j.wem.2020.12.006 |
| Popis: | A 47-y-old man was bitten by a hump-nosed viper (Hypnale zara) and gradually developed retrosternal chest pain associated with ST segment elevation on electrocardiogram. He had normal troponin I levels and no evidence of coagulopathy. Initially, he was managed as having anterior ST elevation myocardial infarction with thrombolysis. Later, because troponin levels were normal, he was suggested to have the type I variant of Kounis syndrome (allergic coronary artery spasm). This was supported by high eosinophil counts in peripheral blood. He was successfully managed with supportive treatment and discharged 6 d after the snakebite. Cardiac complications are rarely reported after hump-nosed viper bites, and clinical reports of coronary vasospasm after snakebites are extremely rare in the literature. This is the first known report of Kounis syndrome after a hump-nosed viper bite. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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