A case of repeated Kounis syndrome after anaphylactic shock: A note for disease management.

ABSTRACT:

Background

Kounis syndrome (KS) is an underdiagnosed disease. The management of the disease remains elusive because of its infrequency.

Case presentation

A 78-year-old man with anaphylactic shock was admitted to our hospital 2 h after multiple bee stings. After recovering from an anaphylactic reaction, he presented with chest pain with ST elevation. We diagnosed him with KS. After a continuous intravenous infusion of vasodilators, his chest pain and ST elevation improved. However, chest pain with ST-segment elevation recurred the next day. Coronary angiography revealed severe stenosis in the middle left anterior descending coronary artery, and drug-eluting stents were implanted. The patient was discharged on foot after treatment for heart failure.

Conclusion

KS, in wh

SUBMITTER: Kawaguchi S 

PROVIDER: S-EPMC10840016 | biostudies-literature | 2024 Jan-Dec

REPOSITORIES: biostudies-literature