Özet:

Hypersensitivity reactions due to insect bites cause different clinical situations ranging from simple urticaria to myocardial infarction. Acute coronary syndrome caused by insect bites is called Kounis syndrome. Myocardial infarction (MI) is one of the most common causes of mortality and morbidity in the world. Following a bee sting, a 43-year-old male patient was admitted to the emergency room with severe chest pain. Upon physical examination of the patient, blood pressure was 85/50 mm/Hg, heart rate was 60 beats/minute and respiratory rate was 12/minute. The ECG of the patient showed a significant ST elevation in anterior derivations. Treatment was started with intravenous antihistamines and steroids. After fifteen minutes, decreased ST segment elevation in anterior derivations were detected on the ECG of patient. Coronary angiography revealed 80% stenosis in the left anterior descending artery (LAD). As a result, we suggest that emergency room physicians should consider the use of antihistamines and steroids in with to bee stings in Kounis syndrome patients

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