ST elevation myocardial infarction with no structural lesions after a wasp sting.
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.
Rekik
Sofiene
S
Cardiology Department, Avignon Hospital Center, Avignon, France.
Andrieu
Stephane
S
Aboukhoudir
Falah
F
Barnay
Pierre
P
Quaino
Gonzalo
G
Pansieri
Michel
M
Hirsch
Jean Lou
JL