Kounis syndrome presenting as ST-segment elevation myocardial infarction following a hymenoptera (bee) sting

Myocardial infarction in a 45-year-old man following an anaphylactic reaction to a wasp sting

“…However, the review of the literature indicates that the presence of pre-existing coronary atherosclerosis does not seem to influence coronary events [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17].…”

Kounis syndrome in a patient with ovarian cancer and allergy to iodinated contrast media: Report of a case

“…On the other hand Kounis syndrome has also been associated with tako-tsubo syndrome [15,16] and with many other anecdotical clinical conditions such as viper bite or hymenoptera sting [17][18][19][20], administration of some drugs like penicillin [4,21], amoxicillin [22], diclofenac sodium [23], rocuronium [24], mesalamine [25], proton pump inhibitors like lansoprazole [26], and even aspirin [27].…”

Kounis syndrome secondary to amoxicillin use in an asthmatic patient

“…Kounis and Zarvas [2] introduced the concept and nomenclature of the "syndrome of allergic angina" in 1991, and five years later [3] they described the "syndrome of allergic myocardial infarction". Today, Kounis syndrome is a recognized cause of acute coronary syndrome and cases are being reported with allergic reactions to various drugs, chemicals, foreign bodies, environmental exposures or some other conditions that give rise to inflammatory mediator release [4][5][6][7]. Many experts believe that Kounis syndrome is not an uncommon disease but, rather, an under-diagnosed disease.…”