Kounis syndrome presenting as ST-segment elevation myocardial infarction following a hymenoptera (bee) sting.
We described a patient presenting with acute myocardial infarction after sustaining a hymenoptera (bee) sting. Cardiac catheterisation confirmed significant intra-coronary thrombosis in the left anterior descending artery with minimal underlying plaque disease. A unifying diagnosis of Kounis syndrome secondary to hymenoptera envenomation was made. This is followed by a brief review of the pathophysiology of acute myocardial infarction in the context of Kounis syndrome.
Taggar
Jaspal S
JS
Watson
Timothy
T
Musarrat
Kashif
K
Millane
Teri
T
D000328:Adult; D000818:Animals; D001516:Bees; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*; D004562:Electrocardiography; D006801:Humans; D006967:Hypersensitivity / Q000150:complications*; D007299:Insect Bites and Stings / Q000150:complications*; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology*