title: Early stent thrombosis secondary to food allergic reaction: Kounis syndrome following rice pudding ingestion.
abstract: Kounis syndrome is the concurrence of coronary spasm, acute myocardial infarction or stent thrombosis, with allergic reactions in the setting of mast-cell and platelet activation. In this report Kounis syndrome manifesting as stent thrombosis with left ventricular thrombus formation was triggered by a food-induced allergic reaction. The allergic reaction to food was confirmed by oral rice pudding ingredients challenge test while skin tests were inconclusive. To our knowledge, this is first report of early stent thrombosis secondary to food allergic reaction in a 70-year-old man patient who was found to have left ventricular thrombus and undiagnosed hypertrophic cardiomyopathy.
authors.affiliation: Georgios Tzanis, Maria Bonou, Smaragda Biliou, John Barbetseas, Department of Cardiology, "Laiko" General Hospital, 11527 Athens, Greece.
authors.forename: Georgios
authors.initials: G
authors.lastname: Tzanis
authors.affiliation: Georgios Tzanis, Maria Bonou, Smaragda Biliou, John Barbetseas, Department of Cardiology, "Laiko" General Hospital, 11527 Athens, Greece.
authors.forename: Maria
authors.initials: M
authors.lastname: Bonou
authors.affiliation: Georgios Tzanis, Maria Bonou, Smaragda Biliou, John Barbetseas, Department of Cardiology, "Laiko" General Hospital, 11527 Athens, Greece.
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Mikos
authors.affiliation: Georgios Tzanis, Maria Bonou, Smaragda Biliou, John Barbetseas, Department of Cardiology, "Laiko" General Hospital, 11527 Athens, Greece.
authors.forename: Smaragda
authors.initials: S
authors.lastname: Biliou
authors.affiliation: Georgios Tzanis, Maria Bonou, Smaragda Biliou, John Barbetseas, Department of Cardiology, "Laiko" General Hospital, 11527 Athens, Greece.
authors.forename: Ioanna
authors.initials: I
authors.lastname: Koniari
authors.affiliation: Georgios Tzanis, Maria Bonou, Smaragda Biliou, John Barbetseas, Department of Cardiology, "Laiko" General Hospital, 11527 Athens, Greece.
authors.forename: Nicholas G
authors.initials: NG
authors.lastname: Kounis
authors.affiliation: Georgios Tzanis, Maria Bonou, Smaragda Biliou, John Barbetseas, Department of Cardiology, "Laiko" General Hospital, 11527 Athens, Greece.
authors.forename: John
authors.initials: J
authors.lastname: Barbetseas
keywords: Allergic myocardial infarction; Allergic reaction; Kounis syndrome; Stent thrombosis