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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- 1 University Hospital of Martinique, Fort-de-France, Martinique
- 2 Centre Hospitalier de Cayenne, Cayenne, French Guiana
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
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