A case of coronary spasm with resultant acute myocardial infarction: likely the result of an allergic reaction.
Kounis syndrome has been known as allergenic angina and/or allergenic myocardial infarction following an allergic reaction. Probable allergic insults usually include drugs, latex, and food. Although ceftriaxone administration has been associated with various allergic reactions such as urticaria, angioedema, erythema, rash and anaphylactic shock, as far as we know, there is no published report that has shown an association between ceftriaxone use and Kounis syndrome. Here, we describe the first report of allergic vasospasm, culminating in acute inferior myocardial infarction, probably as the result of an acute allergenic reaction, after ceftriaxone use.
Department of Cardiology, Lokman Hekim Hospital, Turkey. mustafayurtdas@yahoo.com
Mustafa
M
Yurtdaş
Mehmet Kasim
MK
Aydin
D000328:Adult; D000787:Angina Pectoris / Q000209:etiology*; D000900:Anti-Bacterial Agents / Q000009:adverse effects*; D002443:Ceftriaxone / Q000009:adverse effects*; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000209:etiology*; D004342:Drug Hypersensitivity / Q000150:complications*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D005996:Nitroglycerin / Q000008:administration & dosage; D013577:Syndrome; D014665:Vasodilator Agents / Q000008:administration & dosage
D000900:Anti-Bacterial Agents; D014665:Vasodilator Agents; D002443:Ceftriaxone; D005996:Nitroglycerin