Naslov
Acute myocardial infarction following hornet sting – a case report

Autori
Bradić, Nikola ; Mavrić, Žarko ; Zaputović, Luka ; Matana, Ante

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Cardiologia Hungarica. Supplement 3 / - , 1995, 6-6

Skup
3RD Alpe-Adria Cardiology Meeting

Mjesto i datum
Budimpešta, Mađarska, 17.05.1995. - 20.05.1995

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Myocardial infarction

Sažetak
Only few studies have reported on cases of acute myocardial infarction (AMI) after a wasp sting, and we have found only one following a hornet sting. T.S., a 52 years-old man, with antecedent untreated hypertension (blood pressure values up to 230/140 mmHg) and diabetes, but without confirmed coronary disease and without data on previous hymenoptera stings, was stang in the neck by a hornet, while walking in the forest. Within the next few minutes, the patient experienced an overall weakness, dizziness, shortness of breath and retrosternal pain. After emergency assistance the patient´s condition improved, but chest pain persisted until arrival to hospital three hours later. The first in-hospital ECG showed inferior AMI and right bundle brench block. On examination no generalised allergic skon reactions were observed, except erythematous papule on the sting location. Changes in CK and LDH values were characteristic for AMI with a peak CK value of 610 IU/L (normal < 130 IU/L) and LDH peak value of 645 IU/L (normal < 276 IU/L). Blood pressure on arrival was 130/80 mmHg, relatively low for the patient´s constantly high levels. The blood count showed no significant changes. The possible mechanisms of AMI occurrence after a hornet sting may be coronary spasam or sudden fall of blood pressure caused by an allergic reaction and/or direct hemodynamic effects of venom constituents.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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