Two Different Types of Atypical Kounis Syndrome in the Same Patient at Different Times: A Case Report
Journal Title: Istanbul Medical Journal - Year 2020, Vol 21, Issue 4
Abstract
Kounis syndrome (KS) is an acute coronary syndrome secondary to allergic reactions and can be triggered by many factors. It is a rare condition that is difficult to diagnose, which delays the prognosis of the disease. KS can be classified into three subtypes. In this study, we report a 57-year-old patient with a history of anaphylaxis three times, one after using Moxifloxacin and the other two following a physical activity and an application of hair dye, which were released by an intramuscular adrenalin injection. The two different types of KS occurred at different times due to different causes in the same patient. Our patient was consistent with type 2 KS at the first attack and type 1 KS at the second attack. Therefore, clinicians should not misdiagnose myocardial ischaemia in patients who present with an allergy complaint.
Authors and Affiliations
Yavuz Furuncuoğlu, Başak Mert, Filiz Füsun Bölükbaş, Tayfun Gürol, Cengiz Bölükbaş
Keywords
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- DOI 10.4274/imj.galenos.2020.03453
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