Presumed insect sting–induced Takotsubo cardiomyopathy

This report highlights a rare association between an insect sting and Takotsubo cardiomyopathy. It discusses the decisions surrounding the use and safety of epinephrine and a modified venom immunotherapy approach for desensitizing a high-risk patient with cardiovascular comorbidities.

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Main Authors: Karl Maxemous, MD, Noah D.H. Lewis, MD, FRCPC, ABIM, Jason Chung, MD, Jumana Sarraj, MD, FRCPC, Samira Jeimy, MD, PhD, FRCPC
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Journal of Allergy and Clinical Immunology: Global
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772829325001171
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author Karl Maxemous, MD
Noah D.H. Lewis, MD, FRCPC, ABIM
Jason Chung, MD
Jumana Sarraj, MD, FRCPC
Samira Jeimy, MD, PhD, FRCPC
author_facet Karl Maxemous, MD
Noah D.H. Lewis, MD, FRCPC, ABIM
Jason Chung, MD
Jumana Sarraj, MD, FRCPC
Samira Jeimy, MD, PhD, FRCPC
author_sort Karl Maxemous, MD
collection DOAJ
description This report highlights a rare association between an insect sting and Takotsubo cardiomyopathy. It discusses the decisions surrounding the use and safety of epinephrine and a modified venom immunotherapy approach for desensitizing a high-risk patient with cardiovascular comorbidities.
format Article
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issn 2772-8293
language English
publishDate 2025-08-01
publisher Elsevier
record_format Article
series Journal of Allergy and Clinical Immunology: Global
spelling doaj-art-26a171aadf954ea8ac5c2f83bc7914372025-08-20T03:01:41ZengElsevierJournal of Allergy and Clinical Immunology: Global2772-82932025-08-014310051610.1016/j.jacig.2025.100516Presumed insect sting–induced Takotsubo cardiomyopathyKarl Maxemous, MD0Noah D.H. Lewis, MD, FRCPC, ABIM1Jason Chung, MD2Jumana Sarraj, MD, FRCPC3Samira Jeimy, MD, PhD, FRCPC4Division of Allergy and Immunology, Department of Medicine, Western University, London, Ontario, CanadaDepartment of Medicine, University of Toronto, Division of Cardiology, St Michael’s Hospital, Toronto, Ontario, CanadaDivision of Allergy and Immunology, Department of Medicine, Western University, London, Ontario, CanadaDivision of Allergy and Immunology, Department of Medicine, Western University, London, Ontario, CanadaDivision of Allergy and Immunology, Department of Medicine, Western University, London, Ontario, Canada; Lawson Health Research Institute, St Joseph’s Health Care London, London, Ontario, Canada; Corresponding author: Samira Jeimy, MD, PhD, FRCPC, St Joseph’s Hospital, 268 Grosvenor St, London, Ontario N6A4V2, Canada.This report highlights a rare association between an insect sting and Takotsubo cardiomyopathy. It discusses the decisions surrounding the use and safety of epinephrine and a modified venom immunotherapy approach for desensitizing a high-risk patient with cardiovascular comorbidities.http://www.sciencedirect.com/science/article/pii/S2772829325001171Takotsubo cardiomyopathystress-induced cardiomyopathyenvenomationvenom immunotherapyepinephrineallergy
spellingShingle Karl Maxemous, MD
Noah D.H. Lewis, MD, FRCPC, ABIM
Jason Chung, MD
Jumana Sarraj, MD, FRCPC
Samira Jeimy, MD, PhD, FRCPC
Presumed insect sting–induced Takotsubo cardiomyopathy
Journal of Allergy and Clinical Immunology: Global
Takotsubo cardiomyopathy
stress-induced cardiomyopathy
envenomation
venom immunotherapy
epinephrine
allergy
title Presumed insect sting–induced Takotsubo cardiomyopathy
title_full Presumed insect sting–induced Takotsubo cardiomyopathy
title_fullStr Presumed insect sting–induced Takotsubo cardiomyopathy
title_full_unstemmed Presumed insect sting–induced Takotsubo cardiomyopathy
title_short Presumed insect sting–induced Takotsubo cardiomyopathy
title_sort presumed insect sting induced takotsubo cardiomyopathy
topic Takotsubo cardiomyopathy
stress-induced cardiomyopathy
envenomation
venom immunotherapy
epinephrine
allergy
url http://www.sciencedirect.com/science/article/pii/S2772829325001171
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