Published on:
    Journal of Cardiovascular Disease Research, 2011; 2(4):244-246
    CLINICAL CASE REPORT BASED STUDY | doi:10.4103/0975-3583.89811

    Acute ST-segment elevation myocardial infarction from a centipede bite

    Authors:

    Subramanian Senthilkumaran1, Ramachandran Meenakshisundaram2, Andrew D Michaels3, Ponuswamy Suresh1, Ponniah

    Thirumalaikolundusubramanian2

    1 Sri Gokulam Hospitals and Research Institute, Salem, Tamil Nadu, India

    2 Chennai Medical College Hospital and Research Center, Irungalur, Trichy, India

    3 St. Joseph Hospitals, Humboldt Medical Specialists, Eureka, CA, US

    Abstract:

    Acute myocardial infarction (AMI) following a centipede bite has been very rarely reported. Here, we describe a 22 year-old man who had ST-segment elevation AMI after a centipede bite. He presented with typical chest pain, electro and echocardiographic abnormalities, and elevated cardiac enzymes with normal coronary angiography. The probable mechanisms were described. Practitioners treating centipede bites shall not consider it lightly, as centipede envenomation may produce a variety of systemic and local manifestations in susceptible individuals.

    Key words: Envenomation, mechanism of action, toxins, vagal activity.