Myocardial infarction in a 45-year-old man following an anaphylactic reaction to a wasp sting.
We present the case of a 45-year-old man with clinical features of acute coronary syndrome with persistent ST segment elevation following an anaphylactic reaction to a wasp sting treated with adrenaline. A thrombolysis is performed with no effect on clinical signs, leading to an emergency cardiac catheterization which reveals a non-occlusive thrombosis of the right coronary artery. The pathophysiology and clinical implications of this association are discussed.
Valla
Mathieu
M
Moulin
Frédéric
F
Angioi
Michael
M
Groben
Laurent
L
Sadoul
Nicolas
N
Aliot
Etienne
E
D000707:Anaphylaxis / Q000000981:diagnostic imaging* / Q000209:etiology; D000818:Animals; D006801:Humans; D007299:Insect Bites and Stings / Q000150:complications / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging* / Q000209:etiology; D011859:Radiography; D014863:Wasps