Catecholamine-induced cardiomyopathy resulting from life-threatening funnel-web spider envenoming.
نویسندگان
چکیده
Wepresent twocasesof cardiomyopathy in life-threatening funnel-webspider envenoming.A33-yearoldman bitten by amale Sydney funnel-web spider developed autonomic and neuromuscular excess, pulmonary oedema, hypotension and cardiogenic shock. Hewas treatedwith antivenom, dobutamine, noradrenaline and high-dose insulin, and recovered over 4 days. Echocardiograms showed severe systolic dysfunction, andhigh catecholamineconcentrationsweremeasured in his blood. A 13-year-old girl developed cardiogenic shock after a funnel-web spider bite, confirmed on echocardiogram treated with antivenom and dobutamine. Funnel-web spider envenoming appears to cause catecholamineinduced cardiomyopathy and cardiogenic pulmonary oedema resulting from catecholamine excess. Antivenom did not reverse the cardiomyopathy.
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ورودعنوان ژورنال:
- The Medical journal of Australia
دوره 203 7 شماره
صفحات -
تاریخ انتشار 2015