Inverted Takotsubo Syndrome due to Severe Scorpion Envenomation: Report of one Case

Scorpion envenomation (SE) is common in tropical and subtropical regions. Cardio-respiratory manifestations, mainly cardiogenic shock and pulmonary oedema are the leading causes of death after scorpion envenomation. Cardiac failure can be due to massive release of catecholamines, myocardial damage i...

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Bibliographic Details
Published in:Médecine tropicale et santé internationale 2021-03, Vol.1 (1)
Main Authors: Ben Jemaa, A, Bahloul, M, Kallel, H, Turki, O, Dlela, M, Bouaziz, M
Format: Article
Language:fre
Subjects:
Adult
Cardiomyopathies - complications
Humans
Pulmonary Edema - diagnosis
Scorpion Stings - complications
Scorpion Venoms
Takotsubo Cardiomyopathy - diagnosis
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Summary:Scorpion envenomation (SE) is common in tropical and subtropical regions. Cardio-respiratory manifestations, mainly cardiogenic shock and pulmonary oedema are the leading causes of death after scorpion envenomation. Cardiac failure can be due to massive release of catecholamines, myocardial damage induced by the venom or myocardial ischemia. Although it has been exceptionally reported, Takotsubo syndrome during SE can help to better elucidate the pathophysiology of this cardiomyopathy. We report a case of inverted Takotsubo following a SE in a 26-year-old patient admitted to the Intensive care unit department for severe scorpion envenomation. His evolution was favorable. We concluded that cardiac involvement in this case fulfills all clinical and paraclinical criteria of Takotsubo syndrome emphasizing the importance of catecholaminergic discharge during scorpion envenomation. We discuss again the management of this syndrome in this specific condition.
ISSN:2778-2034