<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-0793</journal-id>
<journal-title><![CDATA[Iatreia]]></journal-title>
<abbrev-journal-title><![CDATA[Iatreia]]></abbrev-journal-title>
<issn>0121-0793</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Antioquia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-07932023000200233</article-id>
<article-id pub-id-type="doi">10.17533/udea.iatreia.191</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de Kounis en envenenamiento por accidente apídico, una revisión narrativa]]></article-title>
<article-title xml:lang="en"><![CDATA[Kounis syndrome in poisoning due to bee stings, a narrative review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera-Rojas]]></surname>
<given-names><![CDATA[Diana Lizeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz-Ortiz]]></surname>
<given-names><![CDATA[Edison]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>36</volume>
<numero>2</numero>
<fpage>233</fpage>
<lpage>244</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-07932023000200233&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-07932023000200233&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-07932023000200233&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El síndrome de Kounis se define, en general, por la aparición de eventos coronarios agudos asociados a síntomas anafilácticos. A pesar de que su mecanismo fisiopatológico es aún incierto, se ha postulado durante años la actividad vasoespástica coronaria secundaria a hipersensibilidad tipo I como un factor desencadenante. En el contexto de accidente apídico por un ataque masivo de abejas debe considerarse el síndrome de envenenamiento y el efecto de daño miocárdico directo por los componentes del veneno como mecanismo causal. Recientemente se han reportado casos de síndrome de Kounis en el contexto de infección por SARS-CoV-2. Estos hallazgos abren la posibilidad de que haya otros procesos de lesión implicados, dentro de los que se destacan la tormenta de citoquinas. Esta revisión narrativa pretende examinar los mecanismos de daño en el síndrome de Kounis a partir del envenenamiento por accidente apídico y su relación con el desarrollo de complicaciones a corto plazo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Kounis syndrome is defined by the appearance of acute coronary events associated to anaphylactic symptoms. The pathophysiological mechanism is still uncertain, however, coronary vasospastic activity secondary to a hypersensitivity type I response is postulated as a triggering factor. In the context of an accident due to a massive bee&#8217;s attack, poisoning syndrome also occurs, where the poison components directly damage the myocardium. Kounis syndrome has been reported in SARS-CoV-2 infection, opening the possibility of other mechanisms, among which the cytokine storm stands out. This narrative review aims to consider the mechanisms of damage in Kounis syndrome secondary to poisoning by a massive bee attack and its relationship with the development of short-term complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Infarto del Miocardio]]></kwd>
<kwd lng="es"><![CDATA[Síndrome Coronario Agudo]]></kwd>
<kwd lng="es"><![CDATA[Síndrome de Kounis]]></kwd>
<kwd lng="es"><![CDATA[Venenos de Abeja]]></kwd>
<kwd lng="en"><![CDATA[Acute Coronary Syndrome]]></kwd>
<kwd lng="en"><![CDATA[Bee Venoms]]></kwd>
<kwd lng="en"><![CDATA[Kounis Syndrome]]></kwd>
<kwd lng="en"><![CDATA[Myocardial Infarction]]></kwd>
</kwd-group>
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