A case of repeated Kounis syndrome after anaphylactic shock: A note for disease management.
Acute Med Surg
; 11(1): e908, 2024.
Article
in En
| MEDLINE
| ID: mdl-38318425
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.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Acute Med Surg
Year:
2024
Type:
Article