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A Case Report of Kounis Syndrome Developing Anaphylaxis Secondary to Vitamin B and C Infusion

Year 2023, Volume: 5 Issue: 2, 67 - 69, 06.09.2023
https://doi.org/10.55994/ejcc.1293720

Abstract

Kounis syndrome is a condition characterized by temporary coronary spasm, reduction in coronary blood flow and myocardial ischemia by activated mast cells as a result of an abnormal immune reaction to a drug or molecule. It is also called allergic angina and allergic myocardial infarction. It was first described by Kounis and Zarvas in 1991. (1) Kounis syndrome can be observed in all age groups regardless of the history of coronary artery disease. Kounis syndrome may occur due to environmental factors such as drugs, intracoronary stent implantation, foods, insect bites, bee stings, pollen, latex exposure etc. In our case report, acute coronary syndrome occurring during anaphylaxis secondary to vitamin B and C infusion, which is frequently used in clinical practice, will be explained.

References

  • Kounis, N. G., and G. M. Zavras. "Histamine-induced coronary artery spasm: the concept of allergic angina." The British journal of clinical practice 45.2 (1991): 121-128.
  • Brown, Simon GA. "Cardiovascular aspects of anaphylaxis: implications for treatment and diagnosis." Current opinion in allergy and clinical immunology 5.4 (2005): 359-364.
  • Kounis, Nicholas G. "Kounis syndrome: an update on epidemiology, pathogenesis, diagnosis and therapeutic management." Clinical Chemistry and Laboratory Medicine (CCLM) 54.10 (2016): 1545-1559.
  • Nikolaidis, Lazaros A., Nicholas G. Kounis, and Alan H. Gradman. "Allergic angina and allergic myocardial infarction: a new twist on an old syndrome." The Canadian journal of cardiology 18.5 (2002): 508-511.
  • Chen, Jack P., et al. "Drug-eluting stent thrombosis: the Kounis hypersensitivity-associated acute coronary syndrome revis-ited." JACC: Cardiovascular Interventions 2.7 (2009): 583-593.
  • Fassio, Filippo, and Fabio Almerigogna. "Kounis syndrome (allergic acute coronary syndrome): different views in allergo-logic and cardiologic literature." Internal and emergency medicine 7.6 (2012): 489-495.
  • Ongun, Ebru Atike, et al. "Diagnostic Dilemma in Allergy and Coronary Syndromes: Kounis Syndrome or Adrenaline Effect?." Cocuk Acil ve Yogun Bakım 5.1 (2018): 25.
  • Giovannini, Mattia, et al. "Kounis syndrome: a clinical entity penetrating from pediatrics to geriatrics." Journal of Geriatric Cardiology: JGC 17.5 (2020): 294.
Year 2023, Volume: 5 Issue: 2, 67 - 69, 06.09.2023
https://doi.org/10.55994/ejcc.1293720

Abstract

References

  • Kounis, N. G., and G. M. Zavras. "Histamine-induced coronary artery spasm: the concept of allergic angina." The British journal of clinical practice 45.2 (1991): 121-128.
  • Brown, Simon GA. "Cardiovascular aspects of anaphylaxis: implications for treatment and diagnosis." Current opinion in allergy and clinical immunology 5.4 (2005): 359-364.
  • Kounis, Nicholas G. "Kounis syndrome: an update on epidemiology, pathogenesis, diagnosis and therapeutic management." Clinical Chemistry and Laboratory Medicine (CCLM) 54.10 (2016): 1545-1559.
  • Nikolaidis, Lazaros A., Nicholas G. Kounis, and Alan H. Gradman. "Allergic angina and allergic myocardial infarction: a new twist on an old syndrome." The Canadian journal of cardiology 18.5 (2002): 508-511.
  • Chen, Jack P., et al. "Drug-eluting stent thrombosis: the Kounis hypersensitivity-associated acute coronary syndrome revis-ited." JACC: Cardiovascular Interventions 2.7 (2009): 583-593.
  • Fassio, Filippo, and Fabio Almerigogna. "Kounis syndrome (allergic acute coronary syndrome): different views in allergo-logic and cardiologic literature." Internal and emergency medicine 7.6 (2012): 489-495.
  • Ongun, Ebru Atike, et al. "Diagnostic Dilemma in Allergy and Coronary Syndromes: Kounis Syndrome or Adrenaline Effect?." Cocuk Acil ve Yogun Bakım 5.1 (2018): 25.
  • Giovannini, Mattia, et al. "Kounis syndrome: a clinical entity penetrating from pediatrics to geriatrics." Journal of Geriatric Cardiology: JGC 17.5 (2020): 294.
There are 8 citations in total.

Details

Primary Language English
Subjects Emergency Medicine
Journal Section Case Reports
Authors

İbrahim Tanrıöğen 0000-0002-7900-4236

Didar Elif Akgün 0000-0001-6618-180X

Özgen Şafak 0000-0001-8245-0117

Early Pub Date September 6, 2023
Publication Date September 6, 2023
Submission Date May 7, 2023
Acceptance Date August 10, 2023
Published in Issue Year 2023 Volume: 5 Issue: 2

Cite

AMA Tanrıöğen İ, Akgün DE, Şafak Ö. A Case Report of Kounis Syndrome Developing Anaphylaxis Secondary to Vitamin B and C Infusion. Eurasian j Crit Care. September 2023;5(2):67-69. doi:10.55994/ejcc.1293720

Indexing and Abstracting

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