Kounis syndrome in poisoning due to bee stings, a narrative review

Kounis syndrome is defined by the appearance of acute coronary events associated to anaphylactic symptoms. The pathophysiological mechanism is still uncertain, however, coronary vasospastic activity secondary to a hy-persensitivity type I response is postulated as a triggering factor. In the con-tex...

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Bibliographic Details
Main Authors: Diana Lizeth Cabrera-Rojas, Edison Muñoz-Ortiz
Format: Article
Language:Spanish
Published: Universidad de Antioquia 2023-04-01
Series:Iatreia
Subjects:
Online Access:https://revistas.udea.edu.co/index.php/iatreia/article/view/349085/20809476
Description
Summary:Kounis syndrome is defined by the appearance of acute coronary events associated to anaphylactic symptoms. The pathophysiological mechanism is still uncertain, however, coronary vasospastic activity secondary to a hy-persensitivity type I response is postulated as a triggering factor. In the con-text of an accident due to a massive bee’s attack, poisoning syndrome also occurs, where the poison components directly damage the myocardium. Kounis syndrome has been reported in SARS-CoV-2 infection, opening the possibility of other mechanisms, among which the cytokine storm stands out. This narrative review aims to consider the mechanisms of damage in Kounis syndrome secondary to poisoning by a massive bee attack and its relationship with the development of short-term complications.
ISSN:0121-0793
2011-7965