{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T10:42:58Z","timestamp":1770892978432,"version":"3.50.1"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T00:00:00Z","timestamp":1649116800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,4,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Rhabdomyolysis after spider bite has been reported in a small number of patients, and myocarditis in even fewer. However, arrhythmia associated with latrodectism in children has not been described in the literature to date.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case summary<\/jats:title><jats:p>A girl presented approximately 4.5\u2009h after being bitten on the left ankle by a black spider. Two unifocal premature ventricular contractions (PVCs) were observed on the electrocardiogram. In laboratory tests, creatine kinase was elevated. On day 2, levels of troponin, pro-brain and natriuretic peptide were elevated. Electrocardiogram revealed inverted and biphasic T waves. Echocardiography revealed mild left ventricular dilation, mitral and aortic valve regurgitation. Holter electrocardiogram showed PVCs. Her laboratory and echocardiography findings completely normalized after discharge, and no arrhythmia was observed on the Holter electrocardiogram during outpatient follow-up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although spider bites are uncommon, they can cause serious systemic effects. These patients should be evaluated for arrhythmia, rhabdomyolysis and myocarditis.<\/jats:p><\/jats:sec>","DOI":"10.1093\/tropej\/fmac027","type":"journal-article","created":{"date-parts":[[2022,4,14]],"date-time":"2022-04-14T11:14:31Z","timestamp":1649934871000},"source":"Crossref","is-referenced-by-count":5,"title":["Coexistence of Rhabdomyolysis, Myocarditis and Arrhythmia after Spider Bite: A Case Report"],"prefix":"10.1093","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5076-1479","authenticated-orcid":false,"given":"M\u00fcnevver","family":"Y\u0131lmaz","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiology, Faculty of Medicine, Pamukkale University, Denizli, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00fcrb\u00fcz","family":"Ak\u00e7ay","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine, Pamukkale University, Denizli, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dolunay","family":"G\u00fcrses","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Faculty of Medicine, Pamukkale University, Denizli, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,4,18]]},"reference":[{"key":"2022041813511247300_fmac027-B1","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1580\/1080-6032(1997)008[0226:WSELAW]2.3.CO;2","article-title":"Widow spider envenomation (latrodectism): a worldwide problem","volume":"8","author":"Jelinek","year":"1997","journal-title":"Wilderness Environ Med"},{"key":"2022041813511247300_fmac027-B2","first-page":"33","article-title":"Venomous spiders of Turkey (Araneae)","volume":"13","author":"Bayram","year":"2007","journal-title":"J Appl Biol Sci"},{"key":"2022041813511247300_fmac027-B3","doi-asserted-by":"crossref","first-page":"48","DOI":"10.33706\/jemcr.837733","article-title":"Mediterranean black widow spider (Latrodectus tredecimguttatus) poisoning in a metropolitan city in Turkey","volume":"12","author":"Bildik","year":"2020","journal-title":"J Emerg Med Case Rep"},{"key":"2022041813511247300_fmac027-B4","doi-asserted-by":"crossref","first-page":"e20210011","DOI":"10.1590\/1678-9199-jvatitd-2021-0011","article-title":"Widow spiders in the New World: a review on Latrodectus Walckenaer, 1805 (Theridiidae) and latrodectism in the Americas","volume":"27","author":"Caruso","year":"2021","journal-title":"J Venom Anim Toxins Incl Trop Dis"},{"key":"2022041813511247300_fmac027-B5","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1016\/S0196-0644(05)81021-2","article-title":"Clinical presentation and treatment of black widow spider envenomation: a review of 163 cases","volume":"21","author":"Clark","year":"1992","journal-title":"Ann Emerg Med"},{"key":"2022041813511247300_fmac027-B6","doi-asserted-by":"crossref","first-page":"AB185","DOI":"10.1016\/j.jaad.2021.06.752","article-title":"Fontanez FC 28362 Black widow spider bite: a common creature in an uncommon geographic location","volume":"85","author":"Vazquez","year":"2021","journal-title":"J Am Acad Dermatol"},{"key":"2022041813511247300_fmac027-B7","doi-asserted-by":"crossref","first-page":"e151","DOI":"10.1016\/j.jemermed.2021.02.035","article-title":"Silently suffering: a pediatric black widow spider envenomation","volume":"61","author":"Friedman","year":"2021","journal-title":"J Emerg Med"},{"key":"2022041813511247300_fmac027-B8","doi-asserted-by":"crossref","first-page":"12","DOI":"10.17140\/TFMOJ-2-112","article-title":"Acute myocarditis: a rare complication after black widow spider bite","volume":"2","author":"Marko","year":"2017","journal-title":"Toxicol Forensic Med Open J"},{"key":"2022041813511247300_fmac027-B9","doi-asserted-by":"crossref","first-page":"55","DOI":"10.5152\/jemcr.2018.2163","article-title":"Black widow spider envenomation with elevated Troponin I levels","volume":"9","author":"Das","year":"2018","journal-title":"J Emerg Med Case Rep"},{"key":"2022041813511247300_fmac027-B10","first-page":"54","article-title":"Poisonous spiders: bites, symptoms, and treatment; 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