Acute coronary syndrome due to plaque erosion likely triggered by insect bites: a case series of Kounis syndrome.

ABSTRACT:

Background

Kounis syndrome is the concurrence of acute coronary syndrome (ACS), including coronary spasm, acute myocardial infarction, and stent thrombosis due to an allergic and/or anaphylactoid insult.

Case summary

We present two cases of Kounis syndrome likely triggered by insect bites, with plaque erosion demonstrated using optical coherence tomography (OCT). Three common findings were derived from this case series. First, the patients developed a rash after an insect bite followed by ACS. Second, immunoglobulin E levels were increased. Finally, OCT identified the aetiology of ACS in this case series as erosion of the culprit lesions.

Discussion

Kounis syndrome, which is ACS following allergic reactions due to insect bites, is a rare complication. Kounis syndrome

SUBMITTER: Katayama Y 

PROVIDER: S-EPMC9174552 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature