Résumé
Nous rapportons ici la première envenimation connue par Micrurus psyches, le « serpent corail segmenté », survenue en avril 2016 dans les environs de Saint-Laurent-du-Maroni. À côté de signes neurologiques locaux, le cas comportait des troubles électrocardiographiques inattendus: un bloc atrioventriculaire du premier degré et des ondes T biphasiques, tous deux transitoires. Nous discutons les mécanismes possibles de cette atteinte cardiaque atypique.
Abstract
We report here the first known envenomation by Micrurus psyches, the so-called Carib coral snake, which occurred on April 2016 in the surroundings of Saint-Laurent-du-Maroni, Western French Guiana. Besides local neurological symptoms, it featured unexpected electrocardiogram changes, which were emergence of a first-degree atrioventricular block and biphasic T waves, both transient. NewWorld elapid venoms were not known for being cardiotoxic so far. The possible reasons of this cardiac injury are discussed.
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Heckmann, X., Marty, C., Starace, F. et al. Envenimation par Micrurus psyches en Guyane française. Bull. Soc. Pathol. Exot. 110, 276–280 (2017). https://doi.org/10.1007/s13149-017-0567-9
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DOI: https://doi.org/10.1007/s13149-017-0567-9
Mots clés
- Envenimation
- Serpent corail
- Micrurus psyches
- Cardiotoxicité
- Hôpital
- Saint-Laurent-du-Maroni
- Guyane française