Kounis syndrome following a wasp sting

Abstract

At 2:00 pm, a middle-aged man with no previously documented medical history experienced an insect sting on his right foot (Fig. 1). The sting resulted in redness and itching of the skin, accompanied by swelling of his tongue. In response, he took amoxicillin and chlorpheniramine maleate tablets. By 3:30 pm, he visited a pharmacy, where he was given 2 Betadexamine tablets and was referred to his family physician. At 4:30 pm, his family physician administered promethazine and betamethasone via intramuscular injection. Shortly after returning home at 5:00 pm, he began to feel nauseous, vomited several times, and experienced chest pain. He passed away shortly thereafter.