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首页> 外文期刊>Canadian Journal of Emergency Medicine >Troponin elevation after black widow spider envenomation
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Troponin elevation after black widow spider envenomation

机译：黑寡妇蜘蛛毒死后肌钙蛋白升高

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摘要

Black widow spider envenomation generally results in self-limiting pain that can be treated in the emergency department (ED) with analgesics and benzodiazepines, usually with no further intervention. Occasionally, a patient has to be admitted or treated with antivenom for refractory pain or a venom-induced complication. We present the case of an 84-year-old man who presented to our ED with chest pain and dyspnea after being bitten on the foot by a western black widow spider (Lactrodectus hesperus). His initial cardiac troponin I (cTnI) was elevated at 0.07 ng/ml and continued to rise to a peak of 0.17 ng/ml. He also had rhabdomyolysis, another uncommon complication of black widow envenomation. An elevated cTnI generally signifies myocardial injury and is rarely seen after black widow envenomation. We discuss the possible etiologies for an elevated cardiac biomarker, in this context, and review potentially serious complications of widow spider envenomation presenting with chest symptoms and an elevated cardiac biomarker.
机译：黑寡妇蜘蛛的毒死一般会导致自限性疼痛，可以在急诊室使用镇痛药和苯二氮卓类药物来治疗，通常无需进一步干预。有时，由于顽固性疼痛或毒液引起的并发症，必须接受抗蛇毒杆菌肽治疗或治疗。我们介绍了一个84岁的男子的案例，该男子在被西部黑寡妇蜘蛛（Lactrodectus hesperus）咬伤后出现胸痛和呼吸困难。他最初的心脏肌钙蛋白I（cTnI）升高至0.07 ng / ml，并继续上升至0.17 ng / ml的峰值。他还患有横纹肌溶解症，这是黑寡妇毒化的另一种罕见并发症。 cTnI升高通常表示心肌损伤，在黑寡妇被毒死后很少见到。在这种情况下，我们讨论了心脏生物标志物升高的可能病因，并回顾了寡妇蜘蛛毒液的潜在严重并发症，并表现出胸部症状和心脏生物标志物升高。

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