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We presume that the bee venom caused these signs, as well as the resulting heart block, which persisted long after the bee sting had subsided. Since his coronary angiogram was normal we believe he had a Kounis type involvement of the cardiovascular system, namely profound coronary spasm that caused complete heart block that did not recover. Another probable reason for the complete heart block could have been that the bees had consumed the pollen of a rhododendron flower, causing \u2018grayanotoxin\u2019 poisoning and severe heart block. The other effects of bee sting are discussed briefly.<\/jats:p>","DOI":"10.1136\/bcr-2015-213974","type":"journal-article","created":{"date-parts":[[2016,11,1]],"date-time":"2016-11-01T23:02:29Z","timestamp":1478041349000},"page":"bcr2015213974","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Possible complication of bee stings and a review of the cardiac effects of bee stings"],"prefix":"10.1136","volume":"2016","author":[{"given":"Prabha Nini","family":"Gupta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B Krishna","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen","family":"Velappan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M D","family":"Sudheer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,11,1]]},"reference":[{"key":"2025042705281798000_2016.oct12_1.bcr2015213974.1","first-page":"1541","article-title":"The bee sting related Wolff-Parkinson-White Syndrome","volume":"6","author":"Santhosh","year":"2012","journal-title":"J Clin Diagn Res."},{"key":"2025042705281798000_2016.oct12_1.bcr2015213974.2","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.5455\/ijmsph.2013.200620132","article-title":"Acute myocardial injury in multiple bee stings\u2014a case report","volume":"2","author":"Bindu","year":"2013","journal-title":"Int J Med Sci Public Health"},{"key":"2025042705281798000_2016.oct12_1.bcr2015213974.3","first-page":"738","article-title":"Myocardial infarction following bee sting","volume":"62","author":"Puvanalingam","year":"2014","journal-title":"J Assoc Physicians India"},{"key":"2025042705281798000_2016.oct12_1.bcr2015213974.4","unstructured":"Raman GK . 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