Early Stent Thrombosis Secondary to Food Allergic Reaction: Kounis Syndrome Following Rice Pudding Ingestion

Overview

Journal World J Cardiol

Publisher Baishideng Publishing Group

Specialty Cardiology & Vascular Diseases

Date 2017 Apr 13

PMID 28400926

Citations 9

Authors

Georgios Tzanis

Maria Bonou

Nikolaos Mikos

Smaragda Biliou

Ioanna Koniari

Nicholas G Kounis

John Barbetseas

Affiliations

Soon will be listed here.

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.

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