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Open Access Case Report

Acute Myocardial Infarction following a possible direct intravenous bite of Russell’s viper (Daboia russelli)

Anjana Silva1*, Senaka Pilapitiya2 and Sisira Siribaddana23

Author Affiliations

1 Department of Parasitology, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Anuradhapura, Sri Lanka

2 Department of Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Anuradhapura, Sri Lanka

3 Institute of Research and Development, Battaramulla, Sri Lanka

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BMC Research Notes 2012, 5:500  doi:10.1186/1756-0500-5-500

Published: 12 September 2012

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.

Case presentation

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.

Conclusion

Importance of the awareness of physicians on the rare, yet fatal manifestations of snake envenoming is highlighted.

Keywords:
Myocardial infarction; Russell’s viper; Intravenous; Sri Lanka