Acute myocardial infarction following a hornet sting

Background. The occurrence of an acute myocardial infarction following a hornet sting has been very rarely reported in the previous literature. Pathogenetic mechanisms include direct action of the venom components on the coronary endothelium and allergic reaction with mediators released from mast ce...

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Main Authors: Cvetković-Matić Danica, Ašanin Milika, Matić Dragan, Ivanović Branislava, Simić Dragan, Kalezić Nevena, Stojanov Vesna
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2009-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2009/0042-84500904333C.pdf
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author Cvetković-Matić Danica
Ašanin Milika
Matić Dragan
Ivanović Branislava
Simić Dragan
Kalezić Nevena
Stojanov Vesna
author_facet Cvetković-Matić Danica
Ašanin Milika
Matić Dragan
Ivanović Branislava
Simić Dragan
Kalezić Nevena
Stojanov Vesna
author_sort Cvetković-Matić Danica
collection DOAJ
description Background. The occurrence of an acute myocardial infarction following a hornet sting has been very rarely reported in the previous literature. Pathogenetic mechanisms include direct action of the venom components on the coronary endothelium and allergic reaction with mediators released from mast cells. The anaphylactic reaction and venom components can produce acute coronary artery thrombosis. Case report. We reported a 45-year-old man with acute myocardial infarction after a hornet sting in the presence of anaphylaxis. We also discussed clinical implications and pathophysiological mechanisms of acute myocardial infarction caused by hymenoptera sting. Conclusion. A case report of this unusual acute myocardial infarction highlights the potential acute myocardial ischemia associated with hymenoptera sting which requests early diagnosis, thorough cardiovascular evaluation and appropriate treatment.
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spelling doaj.art-fcaad3e69e834eaf9f4622f6d0b6f9ca2022-12-22T01:22:49ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502009-01-0166433333710.2298/VSP0904333CAcute myocardial infarction following a hornet stingCvetković-Matić DanicaAšanin MilikaMatić DraganIvanović BranislavaSimić DraganKalezić NevenaStojanov VesnaBackground. The occurrence of an acute myocardial infarction following a hornet sting has been very rarely reported in the previous literature. Pathogenetic mechanisms include direct action of the venom components on the coronary endothelium and allergic reaction with mediators released from mast cells. The anaphylactic reaction and venom components can produce acute coronary artery thrombosis. Case report. We reported a 45-year-old man with acute myocardial infarction after a hornet sting in the presence of anaphylaxis. We also discussed clinical implications and pathophysiological mechanisms of acute myocardial infarction caused by hymenoptera sting. Conclusion. A case report of this unusual acute myocardial infarction highlights the potential acute myocardial ischemia associated with hymenoptera sting which requests early diagnosis, thorough cardiovascular evaluation and appropriate treatment.http://www.doiserbia.nb.rs/img/doi/0042-8450/2009/0042-84500904333C.pdfmyocardial infarctionanaphylaxisbites and stings
spellingShingle Cvetković-Matić Danica
Ašanin Milika
Matić Dragan
Ivanović Branislava
Simić Dragan
Kalezić Nevena
Stojanov Vesna
Acute myocardial infarction following a hornet sting
Vojnosanitetski Pregled
myocardial infarction
anaphylaxis
bites and stings
title Acute myocardial infarction following a hornet sting
title_full Acute myocardial infarction following a hornet sting
title_fullStr Acute myocardial infarction following a hornet sting
title_full_unstemmed Acute myocardial infarction following a hornet sting
title_short Acute myocardial infarction following a hornet sting
title_sort acute myocardial infarction following a hornet sting
topic myocardial infarction
anaphylaxis
bites and stings
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2009/0042-84500904333C.pdf
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AT ivanovicbranislava acutemyocardialinfarctionfollowingahornetsting
AT simicdragan acutemyocardialinfarctionfollowingahornetsting
AT kalezicnevena acutemyocardialinfarctionfollowingahornetsting
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