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Bee sting may cause hypersensitivity reaction with a range from simple allergic reaction to life-threatening anaphylactic response. Although rare, cardiac involvement is a possible complication, varying from vasospasm to acute ST-elevation myocardial infarction. In this case, a 61-year old man was presented to our hospital with ST elevation acute myocardial infarction of inferior wall after bee sting and he was immediately transferred to the cath lab for primary percutaneous coronary interventions. Coronary angiogram showed that the right coronary artery was occluded, angioplasty of the infarct related artery was successfully performed and the patient was transferred to the coronary care unit for further treatment. Patient status stabilized during the further clinical course and he was finally discharged with the appropriate maintenance drug therapy. The emergency physicians could be aware of the possibility of Kounis syndrome during hypersensitivity reactions in order to perform appropriate diagnostic and therapeutic measures in due time.

A probable case of kounis syndrome after bee stings