Acute Coronary Syndrome due to Diclofenac-Induced Anaphylaxis: Type 1 Kounis Syndrome

  • Mehmet Kadri Akboğa
  • Ahmet Akyel
  • Sinan Aydoğdu
Keywords: Kounis syndrome, acute coronary syndrome, diclofenac, anaphylaxis.

Abstract

Kounis syndrome is a potentially life-threatening medical emergency with both acute coronary syndrome and a severe allergic reaction which can occur even in patients with angiographically normal coronary arteries. In this report, we present a patient who developed acute coronary syndrome (type 1 Kounis syndrome) after diclofenac sodium intake.

References

Fassio F, Almerigogna F. Kounis syndrome (allergic acute coronary syndrome): different views in allergologic and cardiologic literature. Intern Emerg Med 2012;7:489-95

Kounis NG, Zavras GM. Histamine-induced coronary artery spasm: the concept of allergic angina. Br J Clin Pract 1991;45:121-8.

Brown AF, McKinnon D, Chu K. Emergency department anaphylaxis: a review of 142 patients in a single year. J Allergy Clin Immunol 2001;108:861-6.

Cakar MA, Gündüz H, Kocayiğit I, Binak DF, Vatan MB, Tamer A. Acute coronary syndrome due to diclofenac potassium induced anaphylaxis: two Kounis syndrome variants in the same patient. Anadolu Kardiyol Derg 2011;11:88-9.

Cevik C, Nugent K, Shome GP, Kounis NG. Treatment of Kounis syndrome. Int J Cardiol 2010;143:223-6.

Published
2016-12-26