Acute anterior myocardial infarction after multiple bee stings. A case of Kounis syndrome

被引：33

作者：

Mytas, Dimitrios Z. ^{[1
]}

Stougiannos, Pavlos N. ^{[1
]}

Zairis, Michael N. ^{[2
]}

Tsiaousis, Georgios Z. ^{[2
]}

Foussas, Stefanos G. ^{[2
]}

Hahalis, George N. ^{[3
]}

Kounis, Nicholas G. ^{[3
]}

Pyrgakis, Vlassios N. ^{[1
]}

机构：

[1] Gen Hosp, Dept Cardiol, Corinth, Greece

[2] Tzanio Hosp, Dept Cardiol, Piraeus, Greece

[3] Univ Patras, Dept Cardiol, Patras, Greece

来源：

INTERNATIONAL JOURNAL OF CARDIOLOGY | 2009年 / 134卷 / 03期

关键词：

Bee stings; Allergic myocardial infarction; Kounis syndrome; ALLERGIC ANGINA; HYMENOPTERA STINGS; HYPERSENSITIVITY;

D O I：

10.1016/j.ijcard.2008.01.050

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 58-year-old man with no history of cardiac diseases or cardiovascular risk factors was stung by honeybees. Soon after, he gradually developed signs of an allergic reaction followed by severe retrosternal pain. Electrocardiographic, echocardiographic evidence and positive biochemical markers were consistent with an acute anterolateral myocardial infarction. Coronary arteriography showed a left anterior descending artery thrombotic lesion. This is a case of Kounis syndrome, which is the concurrence of acute coronary syndromes with conditions associated with mast cell activation including allergic or hypersensitivity reactions as well as anaphylactic or anaphylactoid insults. The clinical implications and pathophysiology of this dangerous association are discussed. (C) 2008 Elsevier Ltd. All rights reserved.

引用

页码：E129 / E131

页数：3

共 6 条

[1] Hypersensitivity to hymenoptera stings [J].