RESUMO
The Kounis syndrome was first 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.
Assuntos
Alérgenos , Anafilaxia , Angioplastia Coronária com Balão/métodos , Venenos de Abelha/imunologia , Abelhas , Clorfeniramina/administração & dosagem , Hidrocortisona/administração & dosagem , Mordeduras e Picadas de Insetos , Anafilaxia/tratamento farmacológico , Anafilaxia/etiologia , Anafilaxia/imunologia , Animais , Antialérgicos , Angiografia Coronária , Vasos Coronários/efeitos dos fármacos , Eletrocardiografia , Humanos , Infarto Miocárdico de Parede Inferior/diagnóstico , Infarto Miocárdico de Parede Inferior/etiologia , Infarto Miocárdico de Parede Inferior/imunologia , Infarto Miocárdico de Parede Inferior/terapia , Mordeduras e Picadas de Insetos/complicações , Mordeduras e Picadas de Insetos/imunologia , Masculino , Pessoa de Meia-Idade , Stents , Síndrome , Resultado do TratamentoRESUMO
Aortic regurgitation (AR) and first-degree atrioventricular heart block (FDAVB) are encountered in ankylosing spondylitis (AS). This rheumatological disease also presents in 90% of the cases an immunogenetic marker that is Human Leucocyte Antigen-B27 (HLA-B27). In this report we describe a case of a patient presenting with AR, FDAVB, aneurysm and thinning of the ascending aortic wall, aneurysm of the sinuses of Valsalva and inferior myocardial infarction-like electrocardiographic pattern with unknown cardiac AS and absence of other AS-related systemic manifestations.