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Case Reports
. 2016 Jul;29(3):298-300.
doi: 10.1080/08998280.2016.11929442.

Multiple bee stings resulting in ST elevation myocardial infarction (the Kounis syndrome)

Joseph R Pelli Jr  1 , J Scott Wieters  1 , Bahrom Firozgary  1 , Timothy Montalvo  1
Affiliations
Case Reports

Multiple bee stings resulting in ST elevation myocardial infarction (the Kounis syndrome)

Joseph R Pelli Jr et al. Proc (Bayl Univ Med Cent). 2016 Jul.

Abstract

Kounis syndrome consists of angina pectoris or myocardial infarction that is triggered by the release of inflammatory mediators in the setting of an allergic reaction. We present the case of a 61-year-old man who presented to the emergency department with anaphylaxis after being stung by >100 bees. During resuscitation, he subsequently developed ST elevation myocardial infarction.

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Figures

Figure 1.
Figure 1.
Bees cut from the patient's scalp and hair (thick arrow) and stingers removed from the patient's skin (thin arrow).
Figure 2.
Figure 2.
Electrocardiogram (a) on arrival, showing sinus tachycardia, and (b) 2 hours later, showing ST elevation myocardial infarction in leads II, III, aVF, and V4 to V6.
See this image and copyright information in PMC

References

    1. Moffitt JE. Allergic reactions to insect stings and bites. South Med J. 2003;96(11):1073–1079. - PubMed
    1. Kogias JS. Sideris SK. Anifadis SK. Kounis syndrome associated with hypersensitivity to Hymenoptera stings. Int J Cardiol. 2007;114(2):252–255. - PubMed
    1. Kounis NG. Kounis syndrome (allergic angina and allergic myocardial infarction): a natural paradigm? Int J Cardiol. 2006;110(1):7–14. - PubMed
    1. Kounis NG. Coronary hypersensitivity disorder: the Kounis syndrome. Clin Ther. 2013;35(5):563–571. - PubMed
    1. Kounis NG. Mazarakis A. Tsigkas G. Giannopoulos S. Goudevenos J. Kounis syndrome: a new twist on an old disease. Future Cardiol. 2011;7(6):805–824. - PubMed

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