Recognizing Kounis Syndrome: A Report of Type 2 Kounis Syndrome and a Brief Review of Management

被引：6

作者：

Clemen, Britney ^{[1
]}

Nwosu, Ifeanyi ^{[1
]}

Chukwuka, Nnamdi ^{[2
]}

Cordeiro, Nikhil L. ^{[2
]}

Ibeson, Emeka ^{[1
]}

Gulati, Amit ^{[1
]}

Ayzenberg, Sergey ^{[2
]}

Weindorf, Benjamin ^{[1
]}

机构：

[1] Maimonides Hosp, Internal Med, New York, NY USA

[2] Maimonides Hosp, Cardiol, New York, NY 11219 USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2021年 / 13卷 / 11期

关键词：

myocardial infarction; nut allergy; anginal chest pain; allergy and anaphylaxis; non-st segment elevation myocardial infarction (nstemi); coronary artery disease; allergic vasospastic angina; acute coronary syndrome; kounis syndrome; ALLERGY;

D O I：

10.7759/cureus.19712

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页数：5

共 16 条

[1] Should beta-blockers be continued as a treatment for myocardial infarction in the case of kounis syndrome? [J].