The Tityus trinitatis, a black scorpion species endemic to the fauna of Trinidad, has been implicated in envenomation with devastating clinical sequelae such as acute pancreatitis and major adverse cardiovascular events. We present the first in-Caribbean case of a 59-year-old Caribbean South Asian male with human immunodeficiency virus who presented with a non-ST-segment-elevation acute coronary syndrome after being stung, which was managed with comprehensive, guideline-directed medical therapy. The clinician should be cognizant of scorpion-induced acute coronary syndrome (ACS) as a potential sequela of envenomation and its clinical management.
Keywords: Tityus trinitatis; acute coronary syndrome (ACS); envenomation; non-ST-segment elevation acute coronary syndromes (NSTE-ACS); non-ST-segment elevation myocardial infarction (NSTEMI); scorpion; type 2 myocardial infarction (T2MI).