Beyond anaphylaxis: acute myocardial infarction with ischemic stroke after bee sting a case report
Iranian Journal of Emergency Medicine,
Vol. 10 No. 1 (2023),
30 November 2022
Although Hymenoptera stings mostly present with benign local inflammation, they can also be fatal. The true incidence of fatal reactions is unknown as sudden deaths due to insect bites might be regarded as heart attacks or strokes. Hymenoptera stings remain an underrecognized and underdiagnosed entity with no relation between the early cutaneous manifestations and the uncommon deadly reactions that are seen days to weeks later. We report a case of a 69-year-old farmer referred to our hospital with both acute coronary syndrome and acute ischemic stroke approximately 5 hours after a bee sting without a history of any initial anaphylaxis.
- bee sting
- ischemic stroke
- acute myocardial infarction
How to Cite
Arif F, Williams M. Hymenoptera Stings. StatPearls. Treasure Island (FL): StatPearls Publishing; 2022.
Freeman T, Golden D, Feldweg A. Bee, yellow jacket, wasp, and other Hymenoptera stings: reaction types and acute management: UpToDate; 2022 [updated Apr 29, 2022. Available from: https://www.uptodate.com/contents/bee-yellow-jacket-wasp-and-other-hymenoptera-stings-reaction-types-and-acute-management.
Castagnoli R, Giovannini M, Mori F, Barni S, Pecoraro L, Arasi S, et al. Unusual Reactions to Hymenoptera Stings: Current Knowledge and Unmet Needs in the Pediatric Population. Front Med. 2021;8:717290.
Karri M, Ramasamy B, Perumal S, Kannan KT. Wasp sting–Causing a fatal menace. Brain Circ. 2021;7(2):132-4.
Dalugama C, Gawarammana IB. Ischemic stroke following a wasp sting–a rare complication: a case report. J Med Case Rep. 2018;12(1):294.
Ralapanawa DMPUK, Kularatne SAM. A case of Kounis syndrome after a hornet sting and literature review. BMC Res Notes. 2014;7:867.
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