Acute myocardial injury caused by Sydney funnel-web spider (Atrax robustus) envenoming.
A 67-year-old female suffered envenoming by a Sydney funnel-web spider (Atrax robustus), complicated by ST elevation and elevated troponin levels consistent with an acute myocardial injury. She was treated primarily with funnel-web spider antivenom, admission to intensive care and initial respiratory support for acute pulmonary oedema. The mechanism by which funnel-web spider envenomation caused myocardial injury is unclear but follow-up nuclear studies in the patient demonstrated that she had minimal atherosclerotic disease.
Isbister
G K
GK
Newcastle Mater Misericordiae Hospital, Waratah, New South Wales.
Warner
G
G
D000368:Aged; D000997:Antivenins / Q000627:therapeutic use*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D001098:Spider Bites / Q000150:complications* / Q000503:physiopathology / Q000628:therapy
D000997:Antivenins