Myocardial infarction following a bee sting: A case report of Kounis syndrome

Usually, bee sting systemic envenomation is self-limited mild allergic reaction rarely associated with systemic manifestations such as anaphylaxis, myocardial injury, encephalitis, acute kidney injury and serum sickness. Kounis syndrome also known as allergic myocardial infarction is uncommon clinical feature and reported cases are scarce in literature. Herein, we described a hypothetical case of Kounis syndrome diagnosed in a 74-year-old man initially presenting for anaphylactic reaction.

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Acute inferior ST elevation myocardial infarction following bee sting: a rare report of Kounis syndrome

Biomedical Research ◽

10.4066/biomedicalresearch.29-18-717 ◽

2018 ◽

Vol 29 (13) ◽

Author(s):

Ozgur Kaplan ◽

Zeydin Acar

Keyword(s):

Myocardial Infarction ◽

St Elevation Myocardial Infarction ◽

Kounis Syndrome ◽

Bee Sting ◽

St Elevation ◽

Rare Report

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Acute ST-Segment Elevation Myocardial Infarction Associated With Diclofenac-Induced Anaphylaxis: Case Report

American Journal of Critical Care ◽

10.4037/ajcc2009100 ◽

2009 ◽

Vol 18 (4) ◽

pp. 388-386 ◽

Cited By ~ 6

Author(s):

J. W. B. de Groot ◽

A. T. M. Gosselink ◽

J. P. Ottervanger

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Case Report ◽

Coronary Stenosis ◽

Temporal Relationship ◽

Rare Complication ◽

Kounis Syndrome ◽

St Segment Elevation ◽

Segment Elevation Myocardial Infarction ◽

St Segment

A patient in whom acute myocardial infarction developed during diclofenac-induced anaphylaxis is described. ST-segment elevation myocardial infarction is a rare complication of anaphylactic reactions, but can occur even in patients with angiographically normal coronary arteries. Physicians should be aware of such a complication in order to diagnose it early and treat it properly. In the patient described here, according to the temporal relationship with diclofenac intake and the exclusion of coronary stenosis, it is probable that diclofenac caused the symptoms. To our knowledge, this is the first reported case of Kounis syndrome due to diclofenac. The patient’s recovery was uneventful.

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Kounis Syndrome in a Young Patient After Bee Sting: Case Report

Journal of Academic Emergency Medicine Case Reports ◽

10.5505/jaemcr.2013.30301 ◽

2013 ◽

Vol 4 (3) ◽

pp. 103-105

Author(s):

Murat Ayan ◽

Hasan Kadi ◽

Mehmet Esen ◽

Kerem Ozbek

Keyword(s):

Case Report ◽

Young Patient ◽

Kounis Syndrome ◽

Bee Sting

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Kounis syndrome presenting as ST-segment elevation myocardial infarction following a hymenoptera (bee) sting

International Journal of Cardiology ◽

10.1016/j.ijcard.2008.04.086 ◽

2009 ◽

Vol 136 (2) ◽

pp. e29-e30 ◽

Cited By ~ 11

Author(s):

Jaspal S. Taggar ◽

Timothy Watson ◽

Kashif Musarrat ◽

Teri Millane

Keyword(s):

Myocardial Infarction ◽

Kounis Syndrome ◽

St Segment Elevation ◽

Segment Elevation Myocardial Infarction ◽

Bee Sting ◽

St Segment

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False Lumen Catheterization in a Patient Who Has Type A Aortic Dissection That Mimics Acute Inferior Myocardial Infarction: A Case Report

The Heart Surgery Forum ◽

10.1532/hsf.1340 ◽

2015 ◽

Vol 18 (5) ◽

pp. 208

Author(s):

Erhan Kaya ◽

Hakan Fotbolcu ◽

Zeki Şimşek ◽

Ömer Işık

Keyword(s):

Myocardial Infarction ◽

Case Report ◽

Aortic Dissection ◽

Cardiac Catheterization ◽

False Lumen ◽

Type A ◽

Inferior Myocardial Infarction ◽

Type A Aortic Dissection ◽

Acute Inferior Myocardial Infarction ◽

Catheterization Procedure

We report a 61-year-old patient who suffered from a type A aortic dissection that mimicked an acute inferior myocardial infarction. During a routine cardiac catheterization procedure, diagnostic catheters can be inserted accidentally into the false lumen. Invasive cardiologists should keep this complication in mind.

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