Kounis syndrome: inferior ST-segment elevation myocardial infarction following a bumblebee sting.

Abstract The Kounis syndrome was fi rst described in 1991 as ‘the allergic angina syndrome’ which could progress to acute myocardial infarction which was named ‘allergic myocardial infarction’. There are several causes underlying this syndrome including drugs, various conditions and a variety of environmental exposure factors such as animal stings. Hymenoptera stings can induce Kounis syndrome because hymenoptera venom contains allergenic proteins and peptides.The following case report describes a patient who experienced an anaphylactic shock associated with coronary artery ischaemia (inferior ST-segment elevation myocardial infarction) after a bumblebee sting.