Silent Myocardial Infarction Due to Kounis Syndrome
Oguz Eroglu *
Department of Emergency Medicine, Kirikkale University, Faculty of Medicine, Kirikkale, Turkey.
Vedat Simsek
Department of Cardiology, Kirikkale University, Faculty of Medicine, Kirikkale, Turkey.
Mustafa Koksal
Department of Emergency Medicine, Kirikkale University, Faculty of Medicine, Kirikkale, Turkey.
Turgut Deniz
Department of Emergency Medicine, Kirikkale University, Faculty of Medicine, Kirikkale, Turkey.
*Author to whom correspondence should be addressed.
Abstract
Bee stings can cause mortal anaphylactic reactions, which are also precursors to some other mortal events. Kounis syndrome (KS), or allergic myocardial infarctions, are well known concomitant events with every type of allergic reaction. KS should be considered in all patients with allergic events and concomitant chest pain admitted to emergency rooms. The clinical symptoms may not always be clear in these cases. The symptom of chest pain may not be seen in some mono- and poli-neuropathic conditions, particularly in diabetes, transplantation and drug user patients. We present a patient with KS secondary to bee sting.
Keywords: Kounis syndrome, bee sting, lacking chest pain, electrocardiography