Acute Myocarditis Due to Scorpion Sting in a 9-year-old Girl

Mohammad Reza Khalilian; Seyyed Abdolhossein  Tavallai Zavareh; Ali Reza Norouzi; Mohammad Ghazavi; Ali Ahmad Goudarzi

doi:10.18502/crcp.v6i3.7123

Mohammad Reza Khalilian Department of Pediatric Cardiology, School of Medicine, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Seyyed Abdolhossein Tavallai Zavareh Department of Pediatric Cardiology, School of Medicine, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Ali Reza Norouzi Pediatric Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Mohammad Ghazavi Department of Pediatric Cardiology, School of Medicine, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Ali Ahmad Goudarzi Department of Pediatric Cardiology, School of Medicine, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

DOI: https://doi.org/10.18502/crcp.v6i3.7123

Keywords: Myocarditis, Sting, Scorpion

Abstract

A 9-year-old girl with signs and symptoms of acute toxic myocarditis and cardiogenic shock with elevated cardiac enzymes was admitted to the Critical Care Unit (CCU) of our hospital with an ejection fraction of 25%. The patient was managed with supportive care and the administration of polyvalent antivenom and inotropes, and after 8 days, she was discharged without any complication with normal ejection fraction. Toxic myocarditis can be a result of scorpion envenomation. After two months of follow-up, the patient recovered completely and medications were discontinued.