Toxin-Mediated Myocarditis From a Brown Recluse Spider Bite

Richard A Sims; Hannah L Fish-Trotter; Daniel E Clark; Kathryn A Gayle; Sean G Hughes; Evan L Brittain

doi:10.1016/j.jaccas.2021.10.003

Toxin-Mediated Myocarditis From a Brown Recluse Spider Bite

JACC Case Rep. 2021 Oct 31;4(1):49-53. doi: 10.1016/j.jaccas.2021.10.003. eCollection 2022 Jan 5.

Authors

Richard A Sims¹, Hannah L Fish-Trotter², Daniel E Clark², Kathryn A Gayle², Sean G Hughes², Evan L Brittain²

Affiliations

¹ Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
² Division of Cardiovascular Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Abstract

We describe a case of myocarditis associated with a brown recluse spider bite in a 31-year-old man. Cardiac magnetic resonance revealed late gadolinium enhancement in the lateral wall and inferior wall. There was also regional elevation of the myocardial T2 and extracellular volume indicative of myocardial edema. (Level of Difficulty: Intermediate.).

Keywords: CMR, cardiac magnetic resonance; ECG, electrocardiogram; MR sequences; acute heart failure; cardiac magnetic resonance; cardiomyopathy; chest pain; imaging; myocardial ischemia; systolic heart failure.

Publication types

Case Reports