Key result
Primary PCI, antihistamines, and steroids successfully resolve bee-sting-induced Kounis syndrome anterior MI.
Why the study?
Hypersensitivity reactions due to insect bites can cause acute coronary syndrome known as Kounis syndrome, but clinical management guidance is limited.
Case Report (n=1)
No
May prompt consideration of allergic ACS triggers; leaves open standardized Kounis syndrome management.
Hypersensitivity reactions due to insect bites cause different clinical situations ranging from simple urticaria to myocardial infarction. Acute coronary syndrome caused by insect bites is called Kounis syndrome. Myocardial infarction (MI) is one of the most common causes of mortality and morbidity in the world. Following a bee sting, a 43-year-old male patient was admitted to the emergency room with severe chest pain. Upon physical examination of the patient, blood pressure was 85/50 mm/Hg, heart rate was 60 beats/minute and respiratory rate was 12/minute. The ECG of the patient showed a significant ST elevation in anterior derivations. Treatment was started with intravenous antihistamines and steroids. After fifteen minutes, decreased ST segment elevation in anterior derivations were detected on the ECG of patient. Coronary angiography revealed 80% stenosis in the left anterior descending artery (LAD). As a result, we suggest that emergency room physicians should consider the use of antihistamines and steroids in with to bee stings in Kounis syndrome patients
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Ayan et al. (2013) conducted a case report in Kounis syndrome (Acute coronary syndrome) (n=1). Antihistamines, steroids, and primary percutaneous coronary intervention was evaluated. A 43-year-old man developed Kounis syndrome with acute anterior myocardial infarction following a bee sting, which was successfully treated with antihistamines, steroids, and primary percutaneous coronary intervention.
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