Article ; Online: A case of repeated Kounis syndrome after anaphylactic shock: A note for disease management.
2024 Volume 11, Issue 1, Page(s) e908
Abstract: Background: Kounis syndrome (KS) is an underdiagnosed disease. The management of the disease remains elusive because of its infrequency.: Case presentation: A 78-year-old man with anaphylactic shock was admitted to our hospital 2 h after multiple bee ...
Abstract | Background: Kounis syndrome (KS) is an underdiagnosed disease. The management of the disease remains elusive because of its infrequency. Case presentation: A 78-year-old man with anaphylactic shock was admitted to our hospital 2 h after multiple bee stings. After recovering from an anaphylactic reaction, he presented with chest pain with ST elevation. We diagnosed him with KS. After a continuous intravenous infusion of vasodilators, his chest pain and ST elevation improved. However, chest pain with ST-segment elevation recurred the next day. Coronary angiography revealed severe stenosis in the middle left anterior descending coronary artery, and drug-eluting stents were implanted. The patient was discharged on foot after treatment for heart failure. Conclusion: KS, in which anaphylaxis and acute coronary syndrome occur simultaneously, can recur repeatedly after an initial anaphylactic reaction; however, it could be delayed or it could present simultaneously with the anaphylactic reaction. Therefore, long-term observation is important. |
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Language | English |
Publishing date | 2024-02-05 |
Publishing country | United States |
Document type | Case Reports |
ZDB-ID | 2751184-4 |
ISSN | 2052-8817 ; 2052-8817 |
ISSN (online) | 2052-8817 |
ISSN | 2052-8817 |
DOI | 10.1002/ams2.908 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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