Anti-shock Measures relieved Bee-Sting Anaphylaxis-Induced Kounis Type I Syndrome; A case Report

Yasser Mohammed Hassanain Elsayed
2019 Biomedical Journal of Scientific & Technical Research  
Rationale: Anaphylaxis is a potentially life-threatening, systemic, allergic reaction that requires both immediate recognition and aggressive treatment. Acute coronary syndromes sometimes are allergic in origin that referred to Kounis syndrome. Coronary artery spasm and myocardial injury in the absence of evident preexistent coronary artery disease can occur in the setting of an urticarial reaction.¬ The most frequent triggers of severe anaphylactic reactions are drugs, insect venoms, and
more » ... t venoms, and foods. Anti-anaphylactic measures are established therapy for anaphylaxis but not for coronary artery disease. Patient Concerns: The current case is a bee venom-induced anaphylactic shock with coronary vasospasm. Diagnosis: Wasp sting anaphylaxis induced Kounis type I syndrome Interventions: Electrocardiography, oxygenation, Intensive care monitoring, and arterial blood gas. Outcomes: This case report describes the efficacy of anti-anaphylactic therapies with normalization of the electrocardiographic coronary artery spasm. Lessons: This case report emphasizes both the importance of recognizing the main etiology of coronary vasospasm that was induced by anaphylaxis and manage it. The most interesting point in my case is a dramatic response of an electrocardiographic STsegment depression to anti-anaphylactic measures.
doi:10.26717/bjstr.2019.22.003819 fatcat:e72pcxpb5ba3vggxot2oq6i7hm