Honey-Bee Sting Myocardial Toxicity in a Patient with Angiographically Normal Coronary Arteries

The clinical findings due to bee-sting are widely variable from local reaction to anaphylactic shock. Cardiac troponin T (cTnT) is a specific and sensitive marker for myocardial injury. According to our knowledge, data are lacking in the literature inform on the elevation of plasma level of cTnT rather than of creatinine phosphokinase (CPK) and CPK- myocardial band (CPK-MB) after bee-sting. We describe a case of a 59-year-old man in whom cTnT was significantly elevated as a result of direct myocardial toxicity of bee venom.