The Bee Sting Related Wolff-Parkinson-White Syndrome

Abstract

Hymenoptera stings are common reasons for emergency visits. The admissions for the hymenoptera stings occur for systemic or unusual reactions. We are reporting a man with multiple bee stings, who presented with dizziness and palpitations and was found to have ECG findings of the Wolff-Parkinson-White syndrome. He had no worsening of symptoms or new ECG changes during his hospitalization. The hymenoptera related cardiac effects have also been reviewed and summarized.

Possible complication of bee stings and a review of the cardiac effects of bee stings

“…A review by Santhosh et al 1 described all cardiac events that have occurred after bee stings. These include myocardial infarction, Kounis syndrome, ventricular fibrillation, acute myocardial infarction with RBBB, myocardial infarction with atrioventricular block, atrial flutter and ventricular ectopics.…”

Principales componentes bioactivos y propiedades terapéuticas del veneno de abeja (Apis mellifera L.). Revisión

“…Otro tipo de complicaciones reportadas, no tan comunes, son: trombocitopenia inmunitaria (68) , linfedema (69) , síndrome de Guillain -Barré (70) , neuropatía óptica (71) , infarto pontino y talámico (72) , lesiones renales agudas (73) , síndrome de Wolff-Parkinson-White (74) , síndrome de Kounis (75) , pénfigo foliáceo (76) , por mencionar algunas. Estas complicaciones se deben principalmente a la acción inmunoestimuladora, y a la presencia de múltiples alérgenos proteicos con actividad enzimática e inductores de la IgE presentes en el VAM (18) .…”