Kounis syndrome - an atopic monster for the heart

Allergic reactions to chemicals, food products or even insect bites are encountered all over the world with a variety of manifestations. Symptoms range from the development of a minor rash to life threatening anaphylactic reactions. Rarely, such allergic reactions can precipitate acute organ involvement – in our case, acute coronary syndrome. Acute coronary syndrome or ST-Segment elevation myocardial infarction resulting from an allergic reaction, also referred to as Kounis syndrome, is rarely described and not clearly understood (1). We present a case of Kounis syndrome secondary to a bee sting in a patient with previously treated coronary disease.