1. Kounis syndrome: inferior ST-segment elevation myocardial infarction following a bumblebee sting.
- Author
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Zanini G, Fontanella B, Racheli M, Bortolotti M, and Pasini GF
- Subjects
- Animals, Anti-Allergic Agents, Coronary Angiography, Coronary Vessels drug effects, Electrocardiography, Humans, Inferior Wall Myocardial Infarction diagnosis, Inferior Wall Myocardial Infarction etiology, Inferior Wall Myocardial Infarction immunology, Inferior Wall Myocardial Infarction therapy, Male, Middle Aged, Stents, Syndrome, Treatment Outcome, Allergens, Anaphylaxis drug therapy, Anaphylaxis etiology, Anaphylaxis immunology, Angioplasty, Balloon, Coronary methods, Bee Venoms immunology, Bees, Chlorpheniramine administration & dosage, Hydrocortisone administration & dosage, Insect Bites and Stings complications, Insect Bites and Stings immunology
- Abstract
The Kounis syndrome was first described in 1991 as'the allergic angina syndrome'which could progress to acute myocardial infarction which was named'allergic myocardial infarction. There are several causes underlying this syndrome including drugs, various conditions and a variety of environmental exposure factors such as animal stings. Hymenoptera stings can induce Kounis syndrome because hymenoptera venom contains allergenic proteins and peptides. The following case report describes a patient who experienced an anaphylactic shock associated with coronary artery ischaemia (inferior ST-segment elevation myocardial infarction) after a bumblebee sting.
- Published
- 2013
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