Bee Sting-Associated Kounis Syndrome Presenting as Myocardial Infarction: A Case Report and Systematic Review with Age-Based Analysis.
Ahmet Yetkin, Ömer Faruk Yılmaz, Mehmet Semih Belpınar et al.
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Case in brief
A 44-year-old man presented with myocardial infarction after a probable bee sting-associated allergic reaction and was considered to have Kounis syndrome, an acute coronary syndrome linked to hypersensitivity. The abstract does not provide further clinical findings or describe his treatment. He left hospital against medical advice approximately five hours after presentation, so his subsequent outcome and follow-up were unavailable.
What made this case unusual
The case highlights that bee sting-associated Kounis syndrome presenting as myocardial infarction can occur in a younger adult; the index patient was 44 years old.
Diagnostic / clinical pearl
Consider Kounis syndrome when acute coronary syndrome follows a suspected allergic trigger, including a bee sting.