Kounis syndrome: Allergic myocardial infarction!!

Kadeli, Deepak; Mangesh, Deepthi; Keshava, R.; Gopi, A

doi:10.4103/jicc.jicc_16_19

Cited by 2 publications

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“…Kounis syndrome is an uncommon entity with less than 100 cases reported but is suspected to be more common and frequently overlooked. [ 1 ] We present a rare case of Kounis syndrome and atrial fibrillation (AF) following a bee sting.…”

Section: Introductionmentioning

confidence: 99%

Kounis syndrome and atrial fibrillation after bee sting: A case report

Ekka

Bharath

Kumar

et al. 2022

J Family Med Prim Care

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A BSTRACT Bee sting can lead to allergic reactions which can present as life-threatening emergencies. Kounis syndrome is an acute coronary syndrome caused by mast cell activation after exposure to an allergen. Atrial fibrillation (AF) along with Kounis syndrome after allergen exposure is a rare presentation. A 40-year-old male patient presented to the emergency department (ED) with multiple bee stings to the face and neck. He complained of retrosternal chest pain along with facial pain and swelling. An electrocardiogram (ECG) showed AF with ST elevation in aVR and generalized ST segment depression. Troponin levels were elevated. He was diagnosed with Kounis syndrome along with AF secondary to a bee sting. The patient improved symptomatically with removal of stings and conservative management (steroids, antihistamines, antiplatelet drugs). ECG reverted to sinus rhythm and resolution of ST-T changes. He was discharged from the ED in stable condition. The bee sting may lead to significant cardiovascular events such as AF and Kounis syndrome, which require a high index of suspicion and prompt treatment. Kounis syndrome should be suspected in the ED in young patients with no cardiovascular risk factors after exposure to an allergen.

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Section: Introductionmentioning

confidence: 99%

Kounis syndrome and atrial fibrillation after bee sting: A case report

Ekka

Bharath

Kumar

et al. 2022

J Family Med Prim Care

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Kounis Syndrome: Bee Sting-Induced Acute Myocardial Infarction

Borkar,

Hande,

Bankar

2023

Cureus

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Acute coronary syndrome or ST-elevation myocardial infarction that develops as a hypersensitive reaction following exposure to an allergen, such as chemicals or bee or wasp stings, is known as Kounis syndrome (KS). Based on angiographic characteristics, three kinds of KS have been identified. Multiple bee stings typically result in localized allergic reactions and anaphylaxis, but they can also occasionally induce severe systemic toxic reactions. Here, a case of KS in a 50-year-old male presented with swelling on the face and upper limbs and breathing difficulties resulting from bee stings which led to myocardial infarction. The risk of KS should be considered by the physician at the primary level in all situations involving multiple bee bites.

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Kounis syndrome: Allergic myocardial infarction!!

Cited by 2 publications

References 0 publications

Kounis syndrome and atrial fibrillation after bee sting: A case report

Kounis syndrome and atrial fibrillation after bee sting: A case report

Kounis Syndrome: Bee Sting-Induced Acute Myocardial Infarction

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