Nécrose myocardique fatale par morsure d'araignée (Ã propos d'un cas)

Detailed description of the clinical features of human spider bites have been well reported. However, the cardiovascular manifestations are rarely observed and their prognostic significance is not known. Among these manifestations, myocardial necrosis is exceedingly rare. We report a 28-year-old man, admitted 3 hours after spider bite with anxiety, dyspnea, cyanosis and chest pain. He had several signs of myocardial necrosis with electrocardiographic abnormalities, very important elevation of C troponine I and weak echocardiographic measurements. The treatment was been mainly symptomatic. The patient was dead 22 hours after by a complicated cardiac failure. Understanding the scarcity but the gravity of myocardial necrosis complicating spider bites, emergency clinicians should provide better and more comprehensive medical care to such patients. They should also not overlook the possibility of acute myocardial damage.