European Journal of Echocardiography Advance Access originally published online on September 17, 2008
European Journal of Echocardiography 2009 10(2):334-336; doi:10.1093/ejechocard/jen246
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Irukandji syndrome, catecholamines, and mid-ventricular stress cardiomyopathy
Department of Medicine, Cairns Base Hospital, The Esplanade, Queensland 4870, Australia
Received 22 May 2008; accepted after revision 31 August 2008; online publish-ahead-of-print 17 September 2008.
* Corresponding author. Tel: +61 740506118; fax: +61 40506113. E-mail address: keithtiong{at}aol.com
| Abstract |
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We present here the first reported case of mid-ventricular stress cardiomyopathy secondary to Irukandji syndrome, following envenomisation from a jellyfish. Carukia barnesi is a cubozoan or box jellyfish found in Far North Queensland, Australia prevalent during the warmer months of the year. It has been associated with Irukandji syndrome as characterized by a sympathetic overdrive secondary to an excess of endogenous catecholamines release. There have been previous cases of sudden onset of left ventricular dysfunction and jellyfish. The author believes that this case is important because it highlights the possible association between the sudden release in catecholamines and stress cardiomyopathy.
Keywords: Mid-ventricular; Stress cardiomyopathy; Irukandji syndrome; Carukia barnesi; Catecholamines