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Cardiac magnetic resonance study of scorpion toxic myocarditis.

Scorpion envenomation may represent a life-threatening condition and, specifically in tropical, subtropical and sub-Saharan area, will be considered a public health problem. We describe a case of a 25-year-old Caucasian woman, suffering from severe scorpion envenomation by Leirus Quinquestratius . The patient presented a catecholamine induced myocarditis and myocardial dysfunction. Our observations, obtained by repeated cardiac magnetic resonance (CMR) assessments (11 days; 3, 9 and 15 months), firstly revealed a possible irreversible and sub-clinical myocardial damage. CMR seems to be a useful tool to assess cardiac damage in scorpion envenomation, particularly in terms of prevention of irreversible myocardial damage and dilated cardiomyopathy delayed …