Silent Myocardial Infarction Due to Kounis Syndrome.

Bee stings can cause mortal anaphylactic reactions, which are also precursors to some other mortal events. Kounis syndrome (KS), or allergic myocardial infarctions, are well known concomitant events with every type of allergic reaction. KS should be considered in all patients with allergic events and concomitant chest pain admitted to emergency rooms. The clinical symptoms may not always be clear in these cases. The symptom of chest pain may not be seen in some mono- and poli-neuropathic conditions, particularly in diabetes, transplantation and drug user patients. We present a patient with KS secondary to bee sting.

Suicide Attempt by Swallowing with 60 Formoterol Inhaler Capsules: A Case Report.

Formoterol is a long-acting β2 agonist used in the management of asthma and chronic obstructive pulmonary disease (COPD). Oral ingestion of sympathomimetic aerosol preparations is unlikely to cause systemic toxicity as most of these agents are poorly absorbed via ingestion. Oral ingestion of inhaler formoterol capsule form is rare. Twenty six year old male admitted to the emergency department after a suicide attempt by swallowing 60 capsules of formoterol fumarate (12 mcg/capsule, total 720 mcg). With the oral ingestion of high doses caused nausea, vomiting, vertigo and palpitation in our patient. It is important to know the effects of the oral ingestion of inhaler formoterol capsule.