Bee alert! multiple honey bee stings lead to heart attack: A case report

Acute myocardial infarction resulting of multiple honey bee stings, there is no much data available on this topic, but the few previous studies have explained the relationship between a honey bee sting and myocardial infarction (MI). The possible mechanism for this event includes severe hypotension, hypertension and coronary vasospasm with thrombotic events after the release of vasoactive agents. The honey bee venom is highly vasoactive, inflammatory and thrombogenic substance. The massive envenomation by multiple honey bees capable of causing multiple organ dysfunctions by its direct action and anaphylactic reactions. This condition is also known as Kounis syndrome. Here we are presenting a case of a 42-year-old male, with an acute MI with severe anaphylactic reactions followed by multiple honey bee stings. The patient underwent angioplasty to left anterior descending artery (LAD), followed by antihistaminics and steroid therapy.