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Late stent thrombosis after wasp sting
Turgay Işık1, Ibrahim Halil Tanboğa, Erkan Ayhan
1Department Cardiology, Balıkesir University Faculty of Medicine, Balıkesir, Turkey. isikturgay@yahoo.com
Summary
A rare case of myocardial infarction (MI) occurred after a wasp sting in a patient with a history of bare metal stent (BMS). The sting triggered total stent thrombosis (ST), highlighting potential links between allergic reactions and cardiovascular events.
Area of Science:
- Cardiology
- Allergy and Immunology
- Toxicology
Background:
- Myocardial infarction (MI) is rarely associated with insect stings.
- A 65-year-old male with a history of bare metal stent (BMS) presented after a wasp sting.
- The patient had a known allergy to honeybee venom.
Observation:
- The patient experienced chest pain and urticaria post-sting.
- Electrocardiography showed ST-segment elevation, and ventricular tachycardia was observed.
- Coronary angiography revealed total stent thrombosis (ST) in the left anterior descending artery.
Findings:
- Successful primary percutaneous coronary intervention was performed to restore blood flow.
- This is the first reported case of late, occlusive ST in a BMS following a wasp sting.
- Shared inflammatory pathways between allergic reactions and MI pathogenesis are hypothesized.
Implications:
- This case suggests a potential link between allergic reactions and cardiovascular events like stent thrombosis.
- Further research into shared pathogenetic mechanisms is warranted.
- Clinicians should consider cardiovascular complications in patients with a history of stenting who experience insect stings, especially if allergic.
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