title: A not so healthy muesli: a case report.
abstract: 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.
authors.affiliation: Resp. Division, Dept. of Medicine, Universitair Ziekenhuis Brussel, Brussels, Belgium. marc.meysman@uzbrussel.be
authors.forename: M
authors.initials: M
authors.lastname: Meysman
authors.forename: D
authors.initials: D
authors.lastname: Schelfaut
authors.forename: W
authors.initials: W
authors.lastname: Vincken
mesh_terms: 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*
chemical_list: D000888:Antibodies, Anti-Idiotypic; D007073:Immunoglobulin E