Abstract
A male stung by a scorpionfish immediately developed the classical symptoms of envenomation: severe localized pain, swelling, and redness, followed in 24 hr by pain in the left shoulder, which spread over the left anterior chest and substernal area. Admitting diagnoses considered in addition to envenomation were: pulmonary embolism, myocardial infarction, myocarditis, and viral pericarditis. Following extensive laboratory studies a diagnosis of viral-type pericarditis was established. This study emphasizes the diversity of disease states that can be associated with but unrelated to the sting or bite of a venomous animal, and also stresses the importance of a careful clinical work-up in every case of venom poisoning.
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