title: Acute myocardial infarction following a possible direct intravenous bite of Russell's viper (Daboia russelli).
abstract: BACKGROUND
  Russell's viper (Daboia russelli) bites lead to high morbidity and mortality in South Asia. Although variety of clinical manifestations is reported in viper bite victims, myocardial ischemic events are rare.
  
  
  METHODS
  We report a unique case of inferior wall ST elevation myocardial infarction due to a Russell's viper bite over a vein with possible direct intravenous envenoming, in a young male with no past history or family history suggestive of ischemic cardiac disease, from Sri Lanka. In addition, the possible mechanisms of myocardial ischemia in snake bite victims are also briefly discussed.
  
  
  CONCLUSIONS
  Importance of the awareness of physicians on the rare, yet fatal manifestations of snake envenoming is highlighted.
authors.affiliation: Department of Parasitology, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Anuradhapura, Sri Lanka. nkanjanasilva@gmail.com
authors.forename: Anjana
authors.initials: A
authors.lastname: Silva
authors.forename: Senaka
authors.initials: S
authors.lastname: Pilapitiya
authors.forename: Sisira
authors.initials: S
authors.lastname: Siribaddana
mesh_terms: D000208:Acute Disease; D000328:Adult; D000818:Animals; D017809:Fatal Outcome; D006801:Humans; D056989:Inferior Wall Myocardial Infarction / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D008297:Male; D017840:Daboia; D012909:Snake Bites / Q000150:complications* / Q000503:physiopathology / Q000628:therapy; D013188:Sri Lanka; D014757:Viper Venoms
chemical_list: D014757:Viper Venoms