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Kounis syndrome

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https://www.readbyqxmd.com/read/29428243/allergic-myocardial-infarction-kounis-syndrome-after-cefuroxime-with-side-chain-cross-reactivity
#1
Magdalena Absmaier, Tilo Biedermann, Knut Brockow
No abstract text is available yet for this article.
February 8, 2018: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/29404272/type-i-kounis-syndrome-variant-a-case-report-and-literature-review
#2
Abdullah Haddad, Triston Smith, Aneel Bole, Moneal Shah, Mithun Chakravarthy
Kounis syndrome defined as the occurrence of acute coronary syndrome in the setting of allergic reaction due to mast cells activation and inflammatory mediators release that induces coronary vasospasm, plaque erosion, or even stent thrombosis. A 25-year-old postpartum female with asthma and recurrent episodes of chest pain was admitted with ST-segment elevation myocardial infarction in the setting of coronary artery spasms. The patient was started on calcium channel blockers and nitrite-based medication with no improvement...
January 2018: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/29361310/kounys-syndrome-after-rocuronium-administration
#3
B Del Val Villanueva, S Telletxea Benguria, I González-Larrabe, J M Suárez Romay
Kounis syndrome encompasses concepts including angina and allergic infarction described in relation to exposure to different allergens. The aim of this article is to describe a case of Kounis Syndrome type II after exposure to rocuronium as well as the patholophysiology and the treatment of this syndrome.
January 17, 2018: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/29348285/vancomycin-induced-coronary-artery-spasm-a-case-of-kounis-syndrome
#4
Eric Martinez, Sonu Sahni, Muhammad Ai Cheema, Asma Iftikhar
Kounis syndrome defined as the appearance of acute coronary syndrome in the context of an allergic reaction is a relatively rare phenomenon. There are three variants of this syndrome in which the patient presents with symptoms of an acute chest. Herein, we describe a case of an 83-year-old woman who demonstrated type I variant of Kounis syndrome in response to vancomycin administration. After initialisation of vancomycin, she became unresponsive and an ECG demonstrated ST changes consistent with inferior-lateral myocardial infarction...
January 17, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29338163/kounis-syndrome-induced-by-oral-intake-of-diclofenac-potassium
#5
Harun Gunes, Feruza Turan Sonmez, Ayhan Saritas, Yasin Koksal
An acute coronary syndrome (ACS) occurring during the course of an allergic reaction is called Kounis syndrome (KS). The second case of KS induced by diclofenac potassium (DP) is presented in this report. A 67-year-old man was brought to our emergency department with the possible diagnosis of anaphylactic shock by the ambulance staff. It emerged that widespread erythema and pruritus developed after taking DP. Then, he lost consciousness. Diffuse urticarial lesions were detected on physical examination at the emergency department...
December 2017: Iranian Journal of Allergy, Asthma, and Immunology
https://www.readbyqxmd.com/read/29316984/coronary-artery-spasm-due-to-intravenous-atropine-infusion-in-a-child-possible-kounis-syndrome
#6
Ana Castellano-Martinez, Moises Rodriguez-Gonzalez
Coronary vasospasm can result from silent myocardial ischaemia to sudden death. There are many precipitant factors including different pharmacological agents. Kounis syndrome is defined by acute coronary syndromes associated with anaphylactic or anaphylactoid reactions. We report, to the best of our knowledge, the first paediatric case of Kounis syndrome due to intravenous atropine.
January 10, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29210337/death-following-ceftazidime-induced-kounis-syndrome
#7
Idg Kitulwatte, S Gangahawatte, Ulms Perera, Pas Edirisinghe
Kounis syndrome, also known as allergic myocardial infarction or allergic angina syndrome, coincides with chest pain and allergic reactions. It involves the activation of interrelated inflammatory cells following allergic, anaphylactic or anaphylactoid insults. We report a case of Kounis syndrome complicated by an injection of ceftazidime. A 52-year-old man developed shortness of breath and hypotension, leading to immediate unconsciousness, after a ceftazidime injection. Despite intensive care management, he showed no improvement and died approximately 19 h after ceftazidime administration...
December 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/29057441/repetitive-stent-thrombosis-another-manifestation-of-kounis-syndrome
#8
Giorgos S Tzanis, Nicholas G Kounis
No abstract text is available yet for this article.
2017: Kardiologia Polska
https://www.readbyqxmd.com/read/29050735/-inferior-myocardial-infarction-complicated-by-complete-heart-block-and-cardiac-arrest-following-a-gadolinium-injection-a-case-of-kounis-syndrome
#9
R Demoulin, R Poyet, E Capilla, M Cardinale, A V Tortat, F Pons, F-X Brocq, C Jego, G Foucault, G-R Cellarier
Kounis syndrome is an allergic acute coronary syndrome. It occurs on healthy or pathological arteries. Its complications, although often benign, can lead to cardiac arrest and death. Its triggering factors are multiple and include contrast products used in diagnostic imaging. We report the case of an 81 years old patient affected by hepatocellular carcinoma, who presented a type 2 Kounis syndrome with inferior myocardial infarction, complicated by cardiac arrest related to complete heart block following a gadoteric acid injection...
November 2017: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/28928989/an-unusual-case-of-recurrent-hypersensitivity-reaction-associated-with-kounis-like-acute-coronary-syndrome
#10
Shanker Kundumadam, Vivek Reddy, Sagar Mallikethi Reddy, Pradeep Kathi, Aiden Abidov
There have been multiple reports of allergic reactions associated with acute coronary syndromes. This has been classically described as Kounis syndrome. We present an unusual case of 70-year-old male with multiple prior hypersensitivity reactions and history of coronary artery bypass grafting who presented recurrent episode of severe angioedema and anaphylaxis. He responded to epinephrine but subsequently developed a non-ST elevation myocardial infarction with worsening heart failure. Our case is unique in that, unlike classic Kounis syndrome, the acute coronary event in this case did not present concurrently with the allergic reaction; rather it took nearly 48 hours to present...
2017: Case Reports in Cardiology
https://www.readbyqxmd.com/read/28882939/wasp-sting-induced-stemi-with-complete-coronary-artery-occlusion-a-case-of-kounis-syndrome
#11
Benjamin Cross, Tawfiqur Rahman Choudhury, Mark Hindle, Gavin Galasko
A 45-year-old previously healthy man with minimal coronary artery disease on imaging presented with an acute MI after sustaining a wasp sting following previous non-eventful exposures throughout his life. This is the first case of Kounis syndrome with optical coherence tomography imaging and proven IgE wasp venom hypersensitivity. The Hymenoptera venom is composed of allergenic proteins and vasoactive amines which are responsible for venom toxicity. This patient also has a history of atopy giving a predisposition for developing IgE-mediated allergic reactions...
September 7, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28870153/myocardial-infarction-during-anaphylaxis-in-a-young-healthy-male-with-normal-coronary-arteries-is-epinephrine-the-culprit
#12
W D Jayamali, H M M T B Herath, Aruna Kulathunga
BACKGROUND: Anaphylaxis is an acute, potentially fatal medical emergency. Myocardial injury or infarction in the setting of an anaphylaxis can be due the anaphylaxis itself, when it is known as Kounis syndrome or it can also be due to the effect of epinephrine treatment. Epinephrine is considered as the cornerstone in management of anaphylaxis. Myocardial infarction secondary to therapeutic doses of adrenaline is a rare occurrence and only a few cases have been reported in literature...
September 4, 2017: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/28756913/kounis-syndrome-or-allergic-infarction-a-relatively-unknown-entity
#13
M I Barrionuevo Sánchez, M J Corbí Pascual, J G Córdoba Soriano, C Ramírez Guijarro, S Calero Nuñez, G Gallego Sánchez
No abstract text is available yet for this article.
July 27, 2017: Medicina Intensiva
https://www.readbyqxmd.com/read/28694403/interesting-presentation-of-kounis-syndrome-secondary-to-amoxicillin-clavulanate-use-coronary-vasospasm-and-simultaneous-appropriate-implantable-defibrillator-shock
#14
Uğur Canpolat, Duygu Koçyiğit, Kudret Aytemir
Kounis syndrome (KS) is defined as concurrent acute coronary syndrome and allergic or hypersensitivity reactions. Despite being increasingly reported, it is still an underdiagnosed entity. Several medications are already known to result in KS. Amoxicillin/clavulanic acid is a frequently used antibiotic, and its use has been linked with KS. The aim of the present report was to draw attention to rare clinical manifestation of KS following peroral amoxicillin/clavulanate use.
July 2017: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://www.readbyqxmd.com/read/28583235/type-1-kounis-syndrome-in-a-patient-with-idiopathic-anaphylaxis
#15
Monica Sandhu, Jason Casselman, Brian Peppers, Haig Tcheurekdjian, Robert W Hostoffer
Anaphylactic insults that cause cardiovascular signs and symptoms have been defined as Kounis syndrome, which has been associated with specific triggered anaphylactic reactions. Kounis syndrome has not been described in patients with no evidence of coronary artery disease (type I Kounis) in a scenario of idiopathic anaphylaxis. We reported a case of a 65-year-old white woman with no evidence of coronary artery disease who experienced two myocardial infarctions on separate occasions attributable to idiopathic anaphylaxis...
June 1, 2017: Allergy & Rhinology
https://www.readbyqxmd.com/read/28580091/effects-of-sugammadex-on-the-coronary-circulation-direct-effects-on-coronary-vessels-or-hypersensitivity-kounis-syndrome
#16
COMMENT
Hong-Seuk Yang, Ha-Jung Kim, Wonuk Koh
No abstract text is available yet for this article.
June 2017: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/28570230/kounis-syndrome-is-it-really-a-takotsubo-like-syndrome
#17
O S Kotsiou, K I Xirogiannis, K I Gourgoulianis
No abstract text is available yet for this article.
June 2017: Journal of Investigational Allergology & Clinical Immunology
https://www.readbyqxmd.com/read/28532437/management-of-kounis-syndrome-two-case-reports
#18
Majdi Omri, Hajer Kraiem, Olfa Mejri, Mounir Naija, Naoufel Chebili
BACKGROUND: Kounis syndrome corresponds to the occurrence of myocardial injury following an allergic insult. This syndrome is infrequent, and is not well known. In consequence, it is usually misdiagnosed leading to inappropriate treatment. The current literature is limited to case studies and there are no international recommendations concerning this topic. CASE PRESENTATION: We discussed, through two case reports, the clinical presentation and the management of a 60-year-old North African man and a 45-year-old North African man presenting with chest pain suggesting acute coronary syndrome following anaphylactic reaction...
May 23, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/28530026/kounis-syndrome-is-it-rare-or-is-it-underdiagnosed
#19
Bruno Limpo, Ángel Morales Martínez-de-Tejada
No abstract text is available yet for this article.
2017: Kardiologia Polska
https://www.readbyqxmd.com/read/28529288/kounis-syndrome-not-induced-but-prevented-by-the-implantation-of-a-drug-eluting-stent-a-case-report
#20
Kadriye Terzioğlu, Dane Ediger, Raziye Tülümen Öztürk, Eda Durmuş, Mehmet Fethi Alışır
No abstract text is available yet for this article.
May 2017: Anatolian Journal of Cardiology
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