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CASE REPORT
Year : 2018  |  Volume : 8  |  Issue : 1  |  Page : 37-39

Type I Kounis syndrome variant: A case report and literature review


Department of Internal Medicine, Saint Clair Memorial Hospital, Allegheny General Hospital, Pittsburgh, PA, USA

Correspondence Address:
Dr. Abdullah Haddad
5215 Riverfront Drive, Pittsburgh, PA 15238
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajm.AJM_114_17

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Kounis syndrome defined as the occurrence of acute coronary syndrome in the setting of allergic reaction due to mast cells activation and inflammatory mediators release that induces coronary vasospasm, plaque erosion, or even stent thrombosis. A 25-year-old postpartum female with asthma and recurrent episodes of chest pain was admitted with ST-segment elevation myocardial infarction in the setting of coronary artery spasms. The patient was started on calcium channel blockers and nitrite-based medication with no improvement. She was noted to have eosinophilia and initiation of corticosteroid-based regimen lead to resolution of chest pain episodes and normalization of eosinophilia. Kounis syndrome should be considered in young patients with chest pain. Coronary vasodilators are considered as the first-line of treatment. The use of corticosteroids has been described in the literature in severe or refractory cases.


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