ACUTE MYOCARDIAL INFARCTION AFTER THE USE OF AMOXICILLIN/CLAVULANI C ACID: TYPE I KOUNIS SYNDROME Case Report AMOKSİSİLİN KULLANIMI SONRASI GELİŞEN AKUT MİYOKARD İNFARKTÜSÜ TİP 1 KOUNİS SENDROMU
نویسندگان
چکیده
In 1991, Kounis and Zavras described the syndrome of allergic angina that can progress to allergic myocardial infarction accompanied by the clinical manifestation, laboratory and electrocardiographic findings of classic angina and myocardial infarction. This report discusses a patient who recieved amoxicillin/clavulanic acid treatment for a flu-like ilness after which he started to develop manifestation of ACS with ST elevation. All other etiologies were appropriately ruled out.
منابع مشابه
ACS Acute coronary syndrome MI Myocardial infarction CK Creatine kinase CKMB creatine kinase MB-fraction
Özet– Alerjik semptomların miyokart iskemisi semptomlarına eşlik etmesi Kounis sendromu olarak tanımlanır. Etofenamat sık olarak kullanılan güvenli ve etkin bir steroid olmayan antienflamatuvar ilaçtır. Bu yazıda Kounis sendromlu 71 yaşında erkek hasta sunuldu. İntramüsküler 1 gram etofenamat enjeksiyonu sonrası eritamatöz döküntüler, kaşıntı, bulantı ve kusma, baş dönmesi, terleme ve göğüs ağr...
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Background The concurrence of acute coronary syndrome with allergy or hypersensitivity as well as with anaphylactic reactions is increasingly encountered in daily clinical practice. Mast cell activation with acute cardiovascular (CV) events is described as Kounis syndrome (KS), an 'allergic angina', progressing to 'allergic myocardial infarction' [1]. Possible triggers include drugs, foods, ani...
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1. Kounis NG, Zavras GM. Histamine-induced coronary artery spasm: the concept of allergic angina. Br J Clin Pract 1991; 45: 121-8. 2. Kounis NG, Grapsas ND, Goudevenos JA. Unstable angina, allergic angina and allergic myocardial infarction. Circulation 1999; 100:e156. [CrossRef] 3. Kounis NG. Kounis syndrome (allergic angina and allergic myocardial infarction): A natural paradigm. Int J Cardiol...
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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-ma...
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1. Gluvic ZM, Putnikovic B, Panic M, Stojkovic A, Rasic-Milutinovic Z, Jankovic-Gavrilovic J. Acute coronary syndrome in diclofenac sodiuminduced type I hypersensitivity reaction: Kounis syndrome. Malta Medical Journal 2007: 3; 36-9. 2. Mori E, Ikeda H, Ueno T, Kai H, Haramaki N, Hashino T, et al. Vasospastic angina induced by nonsteroidal anti-inflammatory drugs. Clin Cardiol 1997; 20: 656-8. ...
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تاریخ انتشار 2010