Recognizing Kounis Syndrome: A Report of Type 2 Kounis Syndrome and a Brief Review of Management.
acute coronary syndrome
allergic vasospastic angina
allergy and anaphylaxis
anginal chest pain
coronary artery disease
kounis syndrome
myocardial infarction
non-st segment elevation myocardial infarction (nstemi)
nut allergy
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
accepted:
18
11
2021
entrez:
22
12
2021
pubmed:
23
12
2021
medline:
23
12
2021
Statut:
epublish
Résumé
Kounis syndrome is an underdiagnosed medical condition and represents acute coronary syndrome in the setting of allergic reaction. With the increasing prevalence of allergic reactions, more cases of Kounis syndrome are being reported in the literature. Recognizing patients with acute coronary syndrome during an episode of anaphylaxis may be difficult due to symptom overlap; hence, a high index of suspicion must be maintained. This is vital as the management of Kounis syndrome requires meticulous use of medications as some pharmacological agents beneficial to acute coronary syndrome may be detrimental for the ongoing anaphylaxis and vice versa. We report a case of type 2 variant of Kounis syndrome following severe anaphylaxis to nuts to highlight the need for clinicians to suspect Kounis syndrome when managing patients with anaphylaxis and chest symptoms.
Identifiants
pubmed: 34934576
doi: 10.7759/cureus.19712
pmc: PMC8684398
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e19712Informations de copyright
Copyright © 2021, Clemen et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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