title: [Acute inferior myocardial infarction after injection of etofenamate].
abstract: Allergic symptoms accompanied by myocardial ischemic symptoms are defined as Kounis syndrome. Etofenamate is a safe and effective non-steroidal antiinflammatory drug that has widespread utilization. We hereby present a 71-year-old man with Kounis syndrome. Following intramuscular 1 g etofenamate injection, the clinical presentation when admitted to the emergency department (ED) was erythematous rash, pruritus, nausea and vomiting, dizziness, diaphoresis, and chest pain resulting in cardiopulmonary arrest. After 10 minutes of successful cardiopulmonary resuscitation, the electrocardiogram revealed acute inferior myocardial infarction. Patients who admit to the ED with allergic symptoms accompanied by chest pain should consider Kounis syndrome for prompt management. Electrocardiographic examination should be an essential part of the initial evaluation in such patients.
authors.affiliation: Yozgat State Hospital, Emergency Department, Yozgat, Turkey.
authors.forename: Yusuf Kenan
authors.initials: YK
authors.lastname: Tekin
authors.forename: Gülaçan
authors.initials: G
authors.lastname: Tekin
mesh_terms: D000368:Aged; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000009:adverse effects*; D016887:Cardiopulmonary Resuscitation; D002637:Chest Pain; D004342:Drug Hypersensitivity / Q000150:complications*; D004562:Electrocardiography; D004890:Erythema; D005439:Flufenamic Acid / Q000008:administration & dosage / Q000009:adverse effects / Q000031:analogs & derivatives*; D006323:Heart Arrest / Q000628:therapy; D006801:Humans; D056989:Inferior Wall Myocardial Infarction / Q000139:chemically induced* / Q000150:complications / Q000175:diagnosis; D008297:Male; D009325:Nausea; D011537:Pruritus; D013546:Sweating; D013577:Syndrome; D014839:Vomiting
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D005439:Flufenamic Acid; C015207:etofenamate