title: ST elevation myocardial infarction with no structural lesions after a wasp sting.
abstract: BACKGROUND
  Acute coronary syndromes after hymenoptera stings and other environmental exposures are referred to as the Kounis syndrome or allergic myocardial ischemia and infarction.
  
  
  METHODS
  We report the case of a 58-year-old man with transient inferior ST-segment elevation consistent with myocardial ischemia after a single wasp sting. Urgent cardiac catheterization revealed normal coronary arteries with a normal left ventriculogram. The evaluation and treatment of cardiac ischemia associated with an allergic reaction is discussed.
  
  
  CONCLUSIONS
  ST elevation myocardial infarction after wasp envenomation is an exceptional and interesting pathology with a partially elucidated pathogenesis. The management of cardiac ischemia in this setting is uncertain.
authors.affiliation: Cardiology Department, Avignon Hospital Center, Avignon, France.
authors.forename: Sofiene
authors.initials: S
authors.lastname: Rekik
authors.forename: Stephane
authors.initials: S
authors.lastname: Andrieu
authors.forename: Falah
authors.initials: F
authors.lastname: Aboukhoudir
authors.forename: Pierre
authors.initials: P
authors.lastname: Barnay
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Quaino
authors.forename: Michel
authors.initials: M
authors.lastname: Pansieri
authors.forename: Jean Lou
authors.initials: JL
authors.lastname: Hirsch