PDF(Pubmed)
Abstract：
The Tityus trinitatis, a black scorpion species endemic to the fauna of Trinidad, has been implicated in envenomation with devastating clinical sequelae such as acute pancreatitis and major adverse cardiovascular events. We present the first in-Caribbean case of a 59-year-old Caribbean South Asian male with human immunodeficiency virus who presented with a non-ST-segment-elevation acute coronary syndrome after being stung, which was managed with comprehensive, guideline-directed medical therapy. The clinician should be cognizant of scorpion-induced acute coronary syndrome (ACS) as a potential sequela of envenomation and its clinical management.
摘要：
Tityustrinitatis,特立尼达动物区系特有的黑蝎种，与急性胰腺炎和主要不良心血管事件等破坏性临床后遗症的毒害有关。我们介绍了第一个在加勒比的病例，一个59岁的加勒比南亚男性患有人类免疫缺陷病毒，他在被刺痛后出现了非ST段抬高的急性冠状动脉综合征，这是全面管理的，指南指导的药物治疗。临床医生应认识到蝎子诱发的急性冠状动脉综合征（ACS）是潜在的静脉形成后遗症及其临床管理。
