title: Intraoperative myocardial infarction: Kounis syndrome provoked by latex allergy.
abstract: We report the case of a 43-year-old man with anaphylactic shock and concurrent ST-elevation myocardial infarction during a planned inguinal hernia surgery. This event occurred shortly after introduction of latex into the surgical field. Coronary angiography revealed a 70% occlusive lesion in the right coronary artery. Further discussion with the patient revealed a potential latex allergy. Skin prick testing showed marked sensitisation to latex. The patient was subsequently diagnosed with the type II variant of Kounis syndrome.
authors.affiliation: Department of Internal Medicine, University of Saskatchewan, Saskatoon, Canada. vsm940@mail.usask.ca
authors.forename: Veronica
authors.initials: V
authors.lastname: Marcoux
authors.forename: Shravan
authors.initials: S
authors.lastname: Nosib
authors.forename: Henry
authors.initials: H
authors.lastname: Bi
authors.forename: Brian
authors.initials: B
authors.lastname: Brownbridge
mesh_terms: D000328:Adult; D000707:Anaphylaxis / Q000150:complications*; D005932:Gloves, Surgical / Q000009:adverse effects*; D006552:Hernia, Inguinal / Q000601:surgery; D059685:Herniorrhaphy; D006801:Humans; D007431:Intraoperative Complications; D020315:Latex Hypersensitivity / Q000150:complications*; D008297:Male; D009203:Myocardial Infarction / Q000150:complications*; D013577:Syndrome