Skip to main content

CASE REPORT article

Front. Cardiovasc. Med.
Sec. General Cardiovascular Medicine
Volume 11 - 2024 | doi: 10.3389/fcvm.2024.1421911
This article is part of the Research Topic Diversity, Equality, and Inclusion in Cardiovascular Medicine View all articles

Acute myocarditis and cerebral infarction following Bothrops lanceolatus envenomation in Martinique: a case series

Provisionally accepted
Jonathan Florentin Jonathan Florentin 1*Karim Farid Karim Farid 1*Hatem Kallel Hatem Kallel 2Remi Neviere Remi Neviere 1Dabor Resiere Dabor Resiere 1*Dabor Resiere Dabor Resiere 1*
  • 1 University Hospital of Martinique, Fort-de-France, Martinique
  • 2 Centre Hospitalier de Cayenne, Cayenne, French Guiana

The final, formatted version of the article will be published soon.

    Bothrops lanceolatus (Bl), a snake endemic to Martinique, is responsible for numerous envenomations annually, leading to severe complications such as thrombosis, necrosis, and hemorrhage. This case series investigates the link between Bothrops lanceolatus envenomation and acute myocarditis, utilizing cardiac magnetic resonance imaging (MRI) to enhance management strategies. In both cases, cardiac MRI confirmed myocarditis with edema, and subsequent cerebral MRI revealed bilateral infarcts. Elevated troponin levels further supported the myocarditis diagnosis. Multiple doses of Bothrofav® antivenom facilitated recovery without clinical after effects.These cases represent the first documented instances of myocarditis due to Bl envenomation confirmed via cardiac MRI. Prompt administration of antivenom and the use of advanced imaging techniques were crucial in achieving favorable outcomes.

    Keywords: Bothrops lanceolatus, Snakebites, Myocarditis, ischemic stroke, cardiovascular complications

    Received: 23 Apr 2024; Accepted: 03 Sep 2024.

    Copyright: © 2024 Florentin, Farid, Kallel, Neviere, Resiere and Resiere. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Jonathan Florentin, University Hospital of Martinique, Fort-de-France, Martinique
    Karim Farid, University Hospital of Martinique, Fort-de-France, Martinique
    Dabor Resiere, University Hospital of Martinique, Fort-de-France, Martinique
    Dabor Resiere, University Hospital of Martinique, Fort-de-France, Martinique

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.