Black Widow Spider Envenomation with Elevated Troponin I Levels

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dc.contributor.authorDas, Murat
dc.contributor.authorAkdur, Okhan
dc.contributor.authorAkman, Canan
dc.contributor.authorCetinkaya, Yasemin
dc.date.accessioned2025-01-27T20:41:25Z
dc.date.available2025-01-27T20:41:25Z
dc.date.issued2018
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractIntroduction: The black widow spider is found worldwide. Alpha-latrotoxin is responsible for the toxic effects related to the spider bite. We report the case of a patient who presented at the emergency department after being bitten by a black widow spider that later developed increased cardiac enzymes. Case Report: The patient was a 24-year-old male who had been bitten by a black spider inside his shoe while he was working in the garden. The patient was referred to the emergency department of department of emergency medicine Canakkale Onsekiz Mart University Faculty of Training and Research Hospital with nausea, vomiting, and severe rigidity in the abdomen for the differential diagnosis of acute abdomen. With severe sweating, the patient had rales in the lower lung zones, and abdominal examination revealed diffuse abdominal guarding. Blood biochemistry revealed creatine kinase (CK): 1838 U/L, CKMb: 71.6 U/L, and troponin I: 0.14 ng/mL. In follow-ups, the troponin I levels increased to 3.01 ng/mL. Electrocardiography revealed normal sinus rhythm. He was followed with a bedside monitor for 3 days in the emergency department. When the patient's troponin I and CK levels decreased, at the end of the third day he was discharged.. Conclusion: Black widow envenomation should be followed for cardiac toxicity other than symptoms, such as muscle spasms, sweating, anxiety, and headache.
dc.identifier.doi10.5152/jemcr.2018.2163
dc.identifier.endpage57
dc.identifier.issn2149-9934
dc.identifier.issue3
dc.identifier.startpage55
dc.identifier.trdizinid311023
dc.identifier.urihttps://doi.org/10.5152/jemcr.2018.2163
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/311023
dc.identifier.urihttps://hdl.handle.net/20.500.12428/24137
dc.identifier.volume9
dc.identifier.wosWOS:000440343500004
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherAves
dc.relation.ispartofJournal of Emergency Medicine Case Reports
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectBlack widow spider
dc.subjecttroponin
dc.subjectenvenomation
dc.titleBlack Widow Spider Envenomation with Elevated Troponin I Levels
dc.typeArticle

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