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Journals / Journal of Emergency Medicine Case Reports / 2026 / Cilt: 13 Sayı: 4

Kounis Syndrome That Recurs in A Short Time Period: A Case Report

İlker Akbaş(KAHRAMANMARAŞ SÜTÇÜ İMAM ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-6676-6517
Abdullah Osman Kocak(ATATURK UNIVERSITY, SCHOOL OF MEDICINE)0000-0002-1678-4474
Sinem Doğruyol(Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey)0000-0002-6949-7233
Pages
107–110
Publication Date
2023-12-27
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Quickly recurring KS was due to accidental reuse of the same agent may be more severe than the first occurrence.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This case report is unique for the occurrence of a quickly recurring Kounis Syndrome (KS) due to re-exposure to the same agent.
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Key Findings & Data:A 40-year-old male was brought to our ED with a diagnosis of non-ST-segment elevation myocardial infarction.
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Conclusion & Impact:Quickly recurring KS was due to accidental reuse of the same agent may be more severe than the first occurrence.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:Kounis syndrome · acute coronary syndrome · allergic infarction

Abstract

This case report is unique for the occurrence of a quickly recurring Kounis Syndrome (KS) due to re-exposure to the same agent. A 40-year-old male was brought to our ED with a diagnosis of non-ST-segment elevation myocardial infarction. He stated that he had taken one dose of amoxicillin-clavulanate 1,000 mg at 03.00 AM. After taking the drug, chest pain and vomiting began. ECG which was taken at the the rural hospital, revealed a normal sinus rhythm with no ischemic changes. The value of cardiac troponin I 0.34 ng/ml in the rural hospital. The patient was consultated to the cardiology clinic with a pre-diagnosis of KS. Percutaneous coronary intervention showed that coronary arteries were normal and no plaque formation was found. The patient, who was diagnosed with type I KS, left the hospital at his own request at 14:12 PM. The patient presented to our ED again at 22:30 PM with chest pain and shortness of breath after accidentally using the same allergenic drug ~eight hours after leaving our hospital. ECG showed > 0.5 cm ST-segment elevation in leads DII, DIII, and aVF. Quickly recurring KS was due to accidental reuse of the same agent may be more severe than the first occurrence.

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Cite This Article

Akbaş, İ., Kocak, A. O., Doğruyol, S. (2023). Kounis Syndrome That Recurs in A Short Time Period: A Case Report. Journal of Emergency Medicine Case Reports, Cilt: 13 Sayı: 4, 107–110. https://doi.org/10.33706/jemcr.1126723

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