Kounis Syndrome That Recurs in A Short Time Period: A Case Report

Authors : İlker AKBAŞ, Abdullah Osman KOCAK, Sinem DOĞRUYOL

Pages : 107-110

Doi:10.33706/jemcr.1126723

View : 42 | Download : 8

Publication Date : 2023-12-27

Article Type : Other Papers

Abstract :This case report is unique for the occurrence of a quickly recurring Kounis Syndrome insert ignore into journalissuearticles values(KS); due to re-exposure to the same agent. A 40-year-old male was brought to our ED with a diagnosis of non-ST-segment elevation myocardial infarction. He stated that he had taken one dose of amoxicillin-clavulanate 1,000 mg at 03.00 AM. After taking the drug, chest pain and vomiting began. ECG which was taken at the the rural hospital, revealed a normal sinus rhythm with no ischemic changes. The value of cardiac troponin I 0.34 ng/ml in the rural hospital. The patient was consultated to the cardiology clinic with a pre-diagnosis of KS. Percutaneous coronary intervention showed that coronary arteries were normal and no plaque formation was found. The patient, who was diagnosed with type I KS, left the hospital at his own request at 14:12 PM. The patient presented to our ED again at 22:30 PM with chest pain and shortness of breath after accidentally using the same allergenic drug ~eight hours after leaving our hospital. ECG showed > 0.5 cm ST-segment elevation in leads DII, DIII, and aVF. Quickly recurring KS was due to accidental reuse of the same agent may be more severe than the first occurrence.
Keywords : Kounis syndrome, acute coronary syndrome, allergic infarction, recurring Kounis syndrome