title: A patient with mushroom allergy; a new etiological agent of Kounis syndrome.
abstract: Kounis syndrome (KS) is a rarely diagnosed condition which should always be kept in mind when an acute myocardial infarction (AMI) happens in the context of anaphylactic reactions. We report a case of a 31-year old female; 2 hours after the ingestion of the mushroom (Pleurotus ostreatus); she experienced nausea, stomachache, vomiting, dyspnea and chest pain. Electrocardiogram (ECG) showed an ST segment elevation in D1, AVL, precordial leads V1-V4. The blood analysis revealed high levels of CK-MB fraction and troponin T values. The diagnosis of Kounis syndrome was made in the catheterization laboratory via the complete resolution of angina, along with electrocardiographic changes that took place after intracoronary nitrate therapy and skin prick to prick test positivism with the mushroom. To the best of our knowledge, this is the first case of a type I variant of Kounis syndrome due to Pleurotus ostreatus allergy reported so far.
authors.affiliation: Clinic of Immunology and Allergy, Sureyyapasa Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey. fatmamervealan@hotmail.com.
authors.forename: Fatma Merve
authors.initials: FM
authors.lastname: Tepetam
authors.forename: Bahadır
authors.initials: B
authors.lastname: Dağdeviren
authors.forename: İsmet
authors.initials: İ
authors.lastname: Bulut
authors.forename: Can Yücel
authors.initials: CY
authors.lastname: Karabay
authors.forename: Safa
authors.initials: S
authors.lastname: Barış
authors.forename: Elif
authors.initials: E
authors.lastname: Aydıner Karakoç
mesh_terms: D054058:Acute Coronary Syndrome / Q000139:chemically induced* / Q000000981:diagnostic imaging*; D000363:Agaricales; D000707:Anaphylaxis / Q000139:chemically induced*; D017023:Coronary Angiography; D004562:Electrocardiography; D005260:Female; D005512:Food Hypersensitivity / Q000209:etiology*; D006801:Humans; D013577:Syndrome