Kounis syndrome: Beware of bee sting!

The Kounis syndrome is described as acute coronary syndrome associated with allergic reaction. It can be triggered by various causes and is associated with significant morbidity and mortality. It is important for physician to recognize this syndrome and its clinical significance as it can be misdiagnosed and the management requires attention to both cardiac and anaphylactic pathophysiology. We reported a case of acute infero-posterior myocardial infarction triggered by bee sting, and discussed its possible underlying mechanism, treatments and its successful outcome.