Acute Myocardial Infarction in Anaphylactic Shock After an Ant Bite: Case Report
Overview
Overview
Authors
Authors
Affiliations
Affiliations
Soon will be listed here.
Abstract
A 72-year-old woman with an ant bite on her hand presented with anaphylaxis at the scene and chest pain in the emergency department.Electrocardiography showed a myocardial infarction with inferior and lateral wall ST elevation. She received percutaneous coronary intervention. The results revealed left anterior descending branch and right coronary artery obstruction. After stenting, she was discharged in good condition. Kounis syndrome was diagnosed. Emergency physicians should be alert to acute coronary syndrome following anaphylaxis.
References
1.
Kounis N, Zavras G
. Histamine-induced coronary artery spasm: the concept of allergic angina. Br J Clin Pract. 1991; 45(2):121-8.
View
2.
Yang Y, Huang H, Yip H, Jawan B, Tseng C, Lu H
. Acute coronary syndrome in cisatracurium-induced anaphylactic shock: Kounis syndrome. Acta Anaesthesiol Taiwan. 2008; 46(4):184-6.
DOI: 10.1016/S1875-4597(09)60007-2.
View
3.
Campbell R, Bellolio M, Knutson B, Bellamkonda V, Fedko M, Nestler D
. Epinephrine in anaphylaxis: higher risk of cardiovascular complications and overdose after administration of intravenous bolus epinephrine compared with intramuscular epinephrine. J Allergy Clin Immunol Pract. 2015; 3(1):76-80.
DOI: 10.1016/j.jaip.2014.06.007.
View
4.
Abdelghany M, Subedi R, Shah S, Kozman H
. Kounis syndrome: A review article on epidemiology, diagnostic findings, management and complications of allergic acute coronary syndrome. Int J Cardiol. 2017; 232:1-4.
DOI: 10.1016/j.ijcard.2017.01.124.
View