Acute Myocardial Infarction following a possible direct intravenous bite of Russell’s viper (Daboia russelli)
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
BMC Research Notes 2012, 5:500 doi:10.1186/1756-0500-5-500Published: 12 September 2012
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.
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.
Importance of the awareness of physicians on the rare, yet fatal manifestations of snake envenoming is highlighted.