title: Kounis syndrome resulting from anaphylaxis to diclofenac.
abstract: "Kounis syndrome" refers to acute coronary syndromes of varying degree (myocardial ischaemia to infarction) induced by mast cell activation as a result of allergic and anaphylactic reactions. ST-segment elevated myocardial infarction is a rare complication that can occur even in patients with normal coronary arteries due to anaphylactic reactions. We present a case that developed acute myocardial infarction following a diclofenac sodium-induced anaphylaxis. The patient did not have any previous coronary artery disease, but there was a temporal relationship with development of the anaphylactic reaction due to diclofenac sodium and the cardiac event. The patient was managed conservatively and the recovery was uneventful.
authors: Department of Anaesthesia, Sushruta Trauma Centre, Civil Lines, New Delhi, India.
authors: Akhilesh Kumar
authors: AK
authors: Tiwari
authors: Gaurav Singh
authors: GS
authors: Tomar
authors: Col S
authors: CS
authors: Ganguly
authors: Mukul Chandra
authors: MC
authors: Kapoor
keywords: Anaphylaxis; Kounis syndrome; diclofenac sodium; myocardial ischaemia/infarction
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