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Emerg Med J 23:e30 doi:10.1136/emj.2005.030007
  • Case report

Acute myocardial infarction in a young man caused by centipede sting

  1. A Yildiz1,
  2. S Biçeroglu1,
  3. N Yakut2,
  4. C Bilir3,
  5. R Akdemir4,
  6. A Akilli5
  1. 1Special Gazi Hospital, Izmir, Turkey
  2. 2Atatürk Education and Research Hospital, Department of Cardiovascular Surgery, Izmir, Turkey
  3. 3Ege Üniversity, School of Medicine, Department of Cardiology, Izmir, Turkey
  4. 4Cardiology Clinic, Health Ministry Diskapi Educational and Research Hospital, Ankara, Turkey
  5. 5Department of Cardiology, School of Medicine, Ege University, Izmir, Turkey
  1. Correspondence to:
 Dr A Yildiz
 Özel Gazi Hastanesi, 1421 sok No 29, Alsancak, Izmir, Turkey; dryildizahmet{at}yahoo.co.uk
  • Accepted 23 November 2005

Abstract

It is known that insects can cause various clinical effects such as myocardial ischaemia and hypotension from vasospasm and the myocardial toxic effects of the venom and anaphylaxis. Although myocardial ischaemia resulting from centipede sting has been reported once before, myocardial injury has not. In this report, the authors present the case of a 20 year old male patient bitten by a centipede and admitted to the emergency room with chest pain, abnormal electrocardiographic findings, and increased cardiac enzymes (cardiac troponin T) suggesting acute myocardial infarction.

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