Acute Renal Failure and Silent Myocardial Infarction Following Multiple Honey Bee Stings.
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Date
2014-01
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Abstract
Massive envenomation by honey bee sting is capable of causing multiorgan dysfunction as a result of direct toxic effect of
venom and secondary to systemic anaphylactic reactions. Myocardial infarction (MI) due to honey bee sting is rare, so is acute
renal failure (ARF). The probable mechanism is severe coronary arterial spasm with secondary in situ thrombosis as a result of
systemic anaphylaxis. This is a case of Kounis syndrome, which is the concurrence of acute coronary syndromes with conditions
associated with mast cell activation. We describe a case of ARF and MI in a 58-year-old man after multiple honey bee stings;
clinically silent and detected on electrocardiography and by cardiac biomarkers.
Description
Keywords
Acute myocardial infarction, acute renal failure, massive honey bee envenomation, Kounis syndrome
Citation
Fernandes Kavina Marian, Srikant R Gadwalkar, Shyamala G. Acute Renal Failure and Silent Myocardial Infarction Following Multiple Honey Bee Stings. Indian Journal of Clinical Practice. 2014 Jan; 24(8): 742-745.