A not so healthy muesli: a case report.
We present a patient with severe anaphylaxis, angioedema, hypotension and shock. The near fatal allergic reaction was caused by eating yogurt with muesli containing pine nuts. The patient developed an acute infero-posterolateral myocardial infarction due to systemic hypotension and shock. Food allergy to pine nut was demonstrated by dosage of specific IgE to pine nut.
Meysman
M
M
Resp. Division, Dept. of Medicine, Universitair Ziekenhuis Brussel, Brussels, Belgium. marc.meysman@uzbrussel.be
Schelfaut
D
D
Vincken
W
W
D000707:Anaphylaxis / Q000175:diagnosis / Q000209:etiology*; D000888:Antibodies, Anti-Idiotypic / Q000032:analysis; D003937:Diagnosis, Differential; D006801:Humans; D007073:Immunoglobulin E / Q000276:immunology; D008297:Male; D008875:Middle Aged; D021184:Nut Hypersensitivity / Q000150:complications* / Q000175:diagnosis; D009754:Nuts / Q000009:adverse effects*; D028223:Pinus / Q000009:adverse effects*; D015014:Yogurt / Q000009:adverse effects*
D000888:Antibodies, Anti-Idiotypic; D007073:Immunoglobulin E