Type III Kounis syndrome after administration of an echocardiography contrast agent.
A dobutamine stress echocardiogram was performed in a 72-year-old woman to assess an intermediate lesion in the left anterior descending artery. After administration of the echocardiography contrast agent, she presented with an anaphylactic reaction and in that context a subacute thrombosis of a drug-eluting stent implanted 15 days before. This is a case of the so-called type III Kounis syndrome.
Cardiology Department, University General Hospital of Albacete, Spain.
Juan Jose
JJ
Portero-Portaz
Cardiology Department, University General Hospital of Albacete, Spain.
Juan Gabriel
JG
Córdoba-Soriano
Cardiology Department, University General Hospital of Albacete, Spain.
Juan Carlos
JC
Gallego-Page
D000368:Aged; D003287:Contrast Media / Q000008:administration & dosage / Q000009:adverse effects; D017023:Coronary Angiography; D004452:Echocardiography / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007275:Injections, Intravenous; D000074962:Kounis Syndrome / Q000175:diagnosis / Q000209:etiology*; D000072657:ST Elevation Myocardial Infarction / Q000175:diagnosis; D013459:Sulfur Hexafluoride / Q000008:administration & dosage / Q000009:adverse effects*; D041623:Tomography, Optical Coherence
D003287:Contrast Media; D013459:Sulfur Hexafluoride
Dobutamine stress; Kounis syndrome; anaphylactic reaction; drug-eluting stent; echocardiogram; echocardiography contrast agent; subacute thrombosis