An unusual presentation of allergic reactions: Kounis syndrome

Kounis syndrome is a rare cause of angina pectoris and acute coronary syndrome associated with acute allergic reactions. We present a case of one middle-aged male with this syndrome presenting with ST elevation on electrocardiogram after amoxicillin intake. It is important that clinicians be aware o...

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Bibliographic Details
Published in:Hong Kong journal of emergency medicine 2015-11, Vol.22 (6), p.371-375
Main Authors: O Ciftci, F Ciftci, O AydIn, BA Ozel, C Kavalci, GE Celik, US Benli, H Muderrisoglu
Format: Article
Language:English
Subjects:
Allergy
Angina pectoris
Complications
Coronary artery disease
Coronary heart disease
coronary vasospasm
drug hypersensitivity
Drugs
Etiology
Side effects
Treatment
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Summary:Kounis syndrome is a rare cause of angina pectoris and acute coronary syndrome associated with acute allergic reactions. We present a case of one middle-aged male with this syndrome presenting with ST elevation on electrocardiogram after amoxicillin intake. It is important that clinicians be aware of the possible link between allergic disorders and acute coronary syndromes. Therefore, an allergic insult should be considered during diagnostic and therapeutic steps in managing acute coronary syndromes in appropriate clinical context. Acute coronary syndromes associated with this syndrome should be managed per relevant guidelines and timely coronary angiography should be performed in majority of cases.
ISSN:1024-9079
2309-5407
DOI:10.1177/102490791502200606