Citation

Puttegowda B, Chikkabasavaiah N, Basavappa R, Akmal Khateeb ST. BMJ Case Rep. 2014; 2014: 2014-203832.

Affiliation

Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Karnataka, Bangalore, India.

Copyright

(Copyright © 2014, BMJ Publishing Group)

DOI

10.1136/bcr-2014-203832

PMID

24729117

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 wall myocardial infarction within 3 h of honeybee sting. He was treated with thrombolytic therapy. Coronary angiogram revealed normal coronary arteries.

Language: en