Allergic angina following wasp sting: Kounis syndrome

Kounis syndrome following multiple wasp stings: A case report

This is a case of Kounis syndrome with chest tightness, lightheadedness, unconsciousness, and features of shock following multiple wasp stings. Despite cardiopulmonary resuscitation and management of allergic and cardiac symptoms, the patient died. Kounis syndrome should be suspected when a patient presents with allergic symptoms and acute coronary syndrome.

Kounis syndrome secondary to gadolinium contrast agent

Cases of coronary artery spasm secondary to contrast agent use are rarely reported. Herein, we report the case of a 53-year-old woman who developed chest pain, dyspnea, and bradycardia and quickly become unresponsive after magnetic resonance imaging of the brain. A heart monitor showed ST elevation, and an electrocardiogram showed ST elevations in leads II, III, aVF, V3, and V4 and ST segment depression in lead I. Urgent left heart catheterization revealed no evidence of obstructive coronary artery disease or pulmonary embolism. A few days later, she was discharged from the hospital with no symptoms. A type I variant of Kounis syndrome was diagnosed.

Acute extensive anterior ST elevation myocardial infarction following bee sting: a rare report of Kounis syndrome in LAD territory

Herein we report a case of extensive anterior myocardial infarction (MI) after bee sting, in 57-year-old man who had no known risk factors for coronary artery disease (CAD).