Allergic angina following wasp sting: Kounis syndrome

Kounis syndrome is defined as an acute coronary syndrome triggered by the release of inflammatory mediators following an allergic insult characterized by acute onset of breathlessness, palpitations, diaphoresis and chest tightness (Gázquez V, Dalmau G, Gaig P, Gómez C, Navarro S, Mercé J. Kounis syn...

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Veröffentlicht in:Oxford Medical Case Reports 2015-06, Vol.2015 (6), p.306-308
Hauptverfasser: Anandan, Prem Krishna, Hanumanthappa, Natesh B, Bhatt, Prabhavathi, Cholenahally, Manjunath Nanjappa
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Sprache:eng
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Zusammenfassung:Kounis syndrome is defined as an acute coronary syndrome triggered by the release of inflammatory mediators following an allergic insult characterized by acute onset of breathlessness, palpitations, diaphoresis and chest tightness (Gázquez V, Dalmau G, Gaig P, Gómez C, Navarro S, Mercé J. Kounis syndrome: report of 5 cases. J Investig Allergol Clin Immunol 2010;20:162-5). We report a 20-year-male patient who presented with acute myocardial infarction following a wasp sting at our institute. ECG showed non-ST-elevation myocardial infarction. Symptoms settled with hydrocortisone and adrenaline. Coronary angiogram revealed normal epicardial coronaries.
ISSN:2053-8855
2053-8855
DOI:10.1093/omcr/omv044