title: Transient reverse takotsubo cardiomyopathy following a spider bite in Greece: a case report.
abstract: Black widow spider is endemic in the Mediterranean area and although envenomations are rare, may occasionally lead to death. We present a case of a 64-year-old female developing a rare variant of takotsubo, stress-induced, cardiomyopathy after a spider bite. This resulted in acute heart failure within 24  hours of the bite. With medical treatment and supportive care, the patient's clinical condition improved. Reverse takotsubo cardiomyopathy was diagnosed by echocardiography, which was transient. Clinical and echocardiographic findings have been completely resolved on follow-up 46 days later. Reverse takotsubo cardiomyopathy has not been yet described following a spider bite. Doctors in the emergency department of endemic countries should be familiar with this potential complication.
authors: From the 1st Department of Internal Medicine (LCA, IS, PG, MA); and Department of Cardiology (SA), General Hospital of Athens "G.Gennimatas," Athens, Greece.
authors: Lykourgos-Christos
authors: LC
authors: Alexakis
authors: Sophia
authors: S
authors: Arapi
authors: Ioannis
authors: I
authors: Stefanou
authors: Panagiotis
authors: P
authors: Gargalianos
authors: Myrto
authors: M
authors: Astriti
mesh_terms: D000818:Animals; D001740:Black Widow Spider; D005260:Female; D006115:Greece; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D001098:Spider Bites / Q000150:complications*; D054549:Takotsubo Cardiomyopathy / Q000150:complications / Q000209:etiology*
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