{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,16]],"date-time":"2024-03-16T08:19:28Z","timestamp":1710577168399},"reference-count":15,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Cardiology"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p>Clinical manifestation of black widow spider bite is variable and occasionally leads to death in rural areas. Cases of myocarditis and pericarditis after black widow spider bite are rare and the associated prognostic significance is unknown. Kounis syndrome has been defined as an acute coronary syndrome in the setting of allergic or hypersensitivity and anaphylactic or anaphylactoid insults that manifests as vasospastic angina or acute myocardial infarction or stent thrombosis. Allergic myocarditis is caused by myocardial inflammation triggered by infectious pathogens, toxic, ischemic, or mechanical injuries, such as drug-related inflammation and other immune reactions. A 15-year-old child was admitted to the emergency department with pulmonary edema after spider bite. ST segment depression on ECG, elevated cardiac enzymes and global left ventricular hypokinesia (with ejection fraction of 22%), and local pericardial effusion findings confirmed the diagnosis of myopericarditis. After heart failure and pulmonary edema oriented medical therapy, clinical status improved. Patient showed a progressive improvement and LV functions returned to normal on the sixth day. Myopericarditis complicating spider bite is rare and sometimes fatal. The mechanism is not clearly known. Alpha-latrotoxin of the black widow spider is mostly convicted in these cases. But allergy or hypersensitivity may play a role in myocardial damage.<\/jats:p>","DOI":"10.1155\/2015\/768089","type":"journal-article","created":{"date-parts":[[2015,10,5]],"date-time":"2015-10-05T21:04:18Z","timestamp":1444079058000},"page":"1-3","source":"Crossref","is-referenced-by-count":8,"title":["Reversible Myocarditis and Pericarditis after Black Widow Spider Bite or Kounis Syndrome?"],"prefix":"10.1155","volume":"2015","author":[{"given":"Mehmet","family":"Yaman","sequence":"first","affiliation":[{"name":"Department of Cardiology, Samsun Training and Research Hospital, Ministry of Health, 55100 Samsun, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Turkan","family":"Mete","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism, Samsun Training and Research Hospital, Ministry of Health, 55100 Samsun, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ismail","family":"Ozer","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Samsun Training and Research Hospital, Ministry of Health, 55100 Samsun, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elif","family":"Yaman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Ondokuz May\u0131s University Faculty of Medicine, 55100 Samsun, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osman","family":"Beton","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Faculty of Medicine, Cumhuriyet University, 58140 Sivas, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"issue":"4","key":"1","first-page":"229","volume":"101","year":"2001","journal-title":"Journal of the American Osteopathic Association"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2007.09.012"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1067\/mem.2003.32"},{"issue":"10","key":"4","first-page":"1149","volume":"28","year":"1998","journal-title":"Giornale Italiano di Cardiologia"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2006.11.005"},{"issue":"5","key":"6","first-page":"521","volume":"11","year":"2010","journal-title":"The Western Journal of Emergency Medicine"},{"issue":"1","key":"7","doi-asserted-by":"crossref","first-page":"15","DOI":"10.5144\/0256-4947.1999.15","volume":"19","year":"1999","journal-title":"Annals of Saudi Medicine"},{"issue":"7562, article 278","key":"8","volume":"333","year":"2006","journal-title":"British Medical Journal"},{"key":"9","first-page":"1751","volume-title":"The cardiomyopathies and myocardities","year":"2001"},{"issue":"4","key":"10","first-page":"235-236, 243-244, 249","volume":"103","year":"1998","journal-title":"Postgraduate Medicine"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1074\/jbc.274.9.5491"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/794540"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa043046"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.2217\/fca.11.63"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2009.09.534"}],"container-title":["Case Reports in Cardiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2015\/768089.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2015\/768089.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2015\/768089.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,23]],"date-time":"2017-06-23T20:48:22Z","timestamp":1498250902000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/cric\/2015\/768089\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":15,"alternative-id":["768089","768089"],"URL":"https:\/\/doi.org\/10.1155\/2015\/768089","relation":{},"ISSN":["2090-6404","2090-6412"],"issn-type":[{"value":"2090-6404","type":"print"},{"value":"2090-6412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}