Beyond anaphylaxis: acute myocardial infarction with ischemic stroke after bee sting a case report

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 ent...

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Main Authors: Zainab Mehdi, Monica Gupta, Anish Garg, Narinder Kaur
Format: Article
Language:English
Published: Shahid Beheshti University of Medical Sciences 2023-05-01
Series:طب اورژانس ایران
Subjects:
Online Access:https://journals.sbmu.ac.ir/iranjem/article/view/40469
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author Zainab Mehdi
Monica Gupta
Anish Garg
Narinder Kaur
author_facet Zainab Mehdi
Monica Gupta
Anish Garg
Narinder Kaur
author_sort Zainab Mehdi
collection DOAJ
description 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.
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spelling doaj.art-612e80d8f62c48fcb3b28fc8df13c3782023-06-01T06:27:16ZengShahid Beheshti University of Medical Sciencesطب اورژانس ایران2383-36452023-05-0110110.22037/ijem.v10i1.40469Beyond anaphylaxis: acute myocardial infarction with ischemic stroke after bee sting a case reportZainab MehdiMonica Gupta0Anish Garg1Narinder Kaur2Department of General Medicine, Government Medical College and Hospital, Sector -32 Chandigarh, India.Department of General Medicine, Government Medical College and Hospital, Sector -32 Chandigarh, India.Department of Radiodiagnosis, Government Medical College and Hospital, Sector -32 Chandigarh, India. 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. https://journals.sbmu.ac.ir/iranjem/article/view/40469anaphylaxisbee stingischemic strokeacute myocardial infarction
spellingShingle Zainab Mehdi
Monica Gupta
Anish Garg
Narinder Kaur
Beyond anaphylaxis: acute myocardial infarction with ischemic stroke after bee sting a case report
طب اورژانس ایران
anaphylaxis
bee sting
ischemic stroke
acute myocardial infarction
title Beyond anaphylaxis: acute myocardial infarction with ischemic stroke after bee sting a case report
title_full Beyond anaphylaxis: acute myocardial infarction with ischemic stroke after bee sting a case report
title_fullStr Beyond anaphylaxis: acute myocardial infarction with ischemic stroke after bee sting a case report
title_full_unstemmed Beyond anaphylaxis: acute myocardial infarction with ischemic stroke after bee sting a case report
title_short Beyond anaphylaxis: acute myocardial infarction with ischemic stroke after bee sting a case report
title_sort beyond anaphylaxis acute myocardial infarction with ischemic stroke after bee sting a case report
topic anaphylaxis
bee sting
ischemic stroke
acute myocardial infarction
url https://journals.sbmu.ac.ir/iranjem/article/view/40469
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AT anishgarg beyondanaphylaxisacutemyocardialinfarctionwithischemicstrokeafterbeestingacasereport
AT narinderkaur beyondanaphylaxisacutemyocardialinfarctionwithischemicstrokeafterbeestingacasereport