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Case Reports
. 2016 Dec;72(Suppl 1):S178-S181.
doi: 10.1016/j.mjafi.2016.04.003. Epub 2016 Jun 14.

Kounis syndrome: Acute myocardial injury caused by multiple bee stings

P Bharadwaj  1 , A Joshi  2 , Anup Banerji  3 , Navreet Singh  4
Affiliations
Case Reports

Kounis syndrome: Acute myocardial injury caused by multiple bee stings

P Bharadwaj et al. Med J Armed Forces India. 2016 Dec.
No abstract available

Keywords: Bee sting; Kounis syndrome; Myocardial infarction.

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Figures

Fig. 1
Fig. 1
ECG (pre-thrombolysis) showing ST-segment elevation in the anterior wall leads.
Fig. 2
Fig. 2
ECG (post-thrombolysis) showing resolution of the ST-segment elevation in the anterior wall leads.
Fig. 3
Fig. 3
99mTc stress myocardial perfusion imaging showing a fixed perfusion defect of the anterior, anterolateral and inferior region of the apex with no areas of reversibility.
See this image and copyright information in PMC

References

    1. Freeman T.M. Hypersensitivity to hymenoptera stings. N Engl J Med. 2004;351:1978–1984. - PubMed
    1. Nittner-Marszalska M., Kopeć A., Biegus M. Non-ST elevation myocardial infarction after multiple bee stings. A case of “delayed” Kounis syndrome? Int J Cardiol. 2013;166:e62–e65. - PubMed
    1. Kounis N.G., Zavas G.M. Histamine induced coronary artery spasm: the concept of allergic angina. Br J Clin Pract. 1991;45:121–128. - PubMed
    1. Kounis N.G. Kounis syndrome (allergic angina and allergic myocardial infarction): a natural paradigm? Int J Cardiol. 2006;110:7–14. - PubMed
    1. Ferreira D.B., Costa R.S., De Oliveira J.A., Muccillo G. An infarct-like myocardial lesion experimentally induced in Wistar rats with Africanized bee venom. J Pathol. 1995;177(1):95–102. - PubMed

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