Kounis syndrome: Acute myocardial injury caused by multiple bee stings
نویسندگان
چکیده
منابع مشابه
Multiple bee stings resulting in ST elevation myocardial infarction (the Kounis syndrome).
Kounis syndrome consists of angina pectoris or myocardial infarction that is triggered by the release of inflammatory mediators in the setting of an allergic reaction. We present the case of a 61-year-old man who presented to the emergency department with anaphylaxis after being stung by >100 bees. During resuscitation, he subsequently developed ST elevation myocardial infarction.
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Bee stings can cause severe reactions and have caused many victims in the last years. Allergic reactions can be triggered by a single sting and the greater the number of stings, the worse the prognosis. The poisoning effects can be systemic and can eventually cause death. The poison components are melitin, apamin, peptide 401, phospholipase A2, hyaluronidase, histamine, dopamine, and norepineph...
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Bee stings are commonly encountered worldwide. Various manifestations after bee sting have been described 1 . Local reactions are common. Unusually, manifestations like vomiting, diarrhoea, dyspnoea, generalised oedema, acute renal failure, hypotension and collapse may occur. Rarely vasculitis, serum sickness, neuritis and encephalitis have been described which generally develop days to weeks a...
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ژورنال
عنوان ژورنال: Medical Journal Armed Forces India
سال: 2016
ISSN: 0377-1237
DOI: 10.1016/j.mjafi.2016.04.003