2014
DOI: 10.1136/bcr-2014-203832
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Acute myocardial infarction following honeybee sting

Abstract: The occurrence of acute myocardial infarction following a honeybee sting has been very rarely reported in the previous literature. Possible pathogenetic mechanisms include severe hypotension, rarely hypertension and coronary vasospasm with subsequent thrombosis of coronary vessels developed after the release of vasoactive, inflammatory and thrombogenic substances contained in the bee venom. This syndrome is also known as Kounis syndrome. We report a case of a 32-year-old man who presented with acute inferior w… Show more

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Cited by 11 publications
(5 citation statements)
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“…However, multiple stings after attack by a swarm introduces large doses of venom into the circulation, causing severe multisystemic effects, including hemolysis; rhabdomyolysis; coagulation, cardiac, pulmonary, hepatic, and nervous system disorders; hypertension; and AKI. [214][215][216][217][218] Of particular note are the Africanized honeybees found in LA, generated because of interbreeding between African honeybees that escaped from a Brazilian facility and European honeybees. They are much more aggressive than their predecessors and caused a spike in the number of cases in the region.…”
Section: Leptospirosismentioning
confidence: 99%
“…However, multiple stings after attack by a swarm introduces large doses of venom into the circulation, causing severe multisystemic effects, including hemolysis; rhabdomyolysis; coagulation, cardiac, pulmonary, hepatic, and nervous system disorders; hypertension; and AKI. [214][215][216][217][218] Of particular note are the Africanized honeybees found in LA, generated because of interbreeding between African honeybees that escaped from a Brazilian facility and European honeybees. They are much more aggressive than their predecessors and caused a spike in the number of cases in the region.…”
Section: Leptospirosismentioning
confidence: 99%
“…In Mexico between 1998 and 2009, there were 480 deaths associated with bee stings 5 . Cardiovascular events after bee stings have mostly been described in relation to anaphylactic shock, although several reports have underlined the relevance of the direct action of the venom on the heart and the coronary circulation, even causing myocardial infarction [6][7][8][9] .…”
Section: Discussionmentioning
confidence: 99%
“…The actual etiology of KS is still unclear. Antibiotics are the most frequent triggers [3,[13], [14], [15]], although insect bites [[16], [17], [18]], anticancer drugs [[19], [20], [21], [22], [23]], bee stings [[24], [25], [26], [27], [28]], and anesthetics [29,30] have also been reported to be causative factors. Despite its rare incidence, improvement in awareness of KS among physicians might have led to the recent increase in case reports related to KS.…”
Section: Discussionmentioning
confidence: 99%