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Related Experiment Video

Updated: Oct 8, 2025

Dissection and Observation of Honey Bee Dorsal Vessel for Studies of Cardiac Function

Dissection and Observation of Honey Bee Dorsal Vessel for Studies of Cardiac Function

Published on: December 12, 2016

Acute coronary artery dissection after multiple bee stings.

Gaspar Del Rio-Pertuz¹, Jose Correa-Guerrero², Emilio Abuabara-Franco³

¹Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.

Proceedings (Baylor University. Medical Center)

|December 31, 2021

Summary

Kounis syndrome, a heart attack after allergic reactions, can occur without skin symptoms. This case shows acute myocardial infarction from coronary artery dissection following bee stings.

Keywords:

Acute coronary artery dissection Kounis syndrome acute myocardial infarction honeybee

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Area of Science:

Cardiology
Allergy and Immunology
Emergency Medicine

Background:

Kounis syndrome links acute coronary syndrome with anaphylaxis.
Previous cases involved vasospasm or atherosclerotic rupture.
Cutaneous manifestations were typically present.

Observation:

A 33-year-old man experienced acute myocardial infarction post-honeybee stings.
No significant cutaneous symptoms were noted beyond sting sites.
Coronary arteriography revealed proximal left anterior descending artery dissection.

Findings:

The patient presented with anterior wall acute myocardial infarction.
Anaphylaxis-induced coronary artery dissection was diagnosed.
Successful treatment with balloon angioplasty was achieved.

Implications:

Kounis syndrome can manifest solely as coronary artery dissection without typical skin signs.
Early diagnosis and intervention are crucial for favorable outcomes.
This case expands the understanding of Kounis syndrome pathophysiology.