Kounis Syndrome Secondary to Laxative Administration
Kounis syndrome (KS) is defined as an acute coronary syndrome triggered by the release of inflammatory mediators after an allergic attack. It usually occurs secondary to allergic injuries from foods, medications, and insect bites. However, there are no known reports of KS secondary to the intake of...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2022/6087176 |
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| _version_ | 1832549164962021376 |
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| author | Mateo Zuluaga-Gómez Daniel González-Arroyave Carlos M. Ardila |
| author_facet | Mateo Zuluaga-Gómez Daniel González-Arroyave Carlos M. Ardila |
| author_sort | Mateo Zuluaga-Gómez |
| collection | DOAJ |
| description | Kounis syndrome (KS) is defined as an acute coronary syndrome triggered by the release of inflammatory mediators after an allergic attack. It usually occurs secondary to allergic injuries from foods, medications, and insect bites. However, there are no known reports of KS secondary to the intake of laxatives. This article reports the case of a 43-year-old woman who, after ingesting a dose of sodium phosphate monobasic/sodium phosphate dibasic, presented a maculopapular rash on the trunk and extremities. The electrocardiogram showed ST depression in V4-V5-V6 and signs of prolonged QTc; troponin I uptake was positive. Due to presumed myocardial injury and high suspicion of coronary disease, coronary angiography was requested, which showed epicardial coronary arteries, without angiographically significant stenosis, thus confirming the presence of KS secondary to the ingestion of a laxative. |
| format | Article |
| id | doaj-art-64304a3226c243e8804c054efbab46f8 |
| institution | Kabale University |
| issn | 1687-9635 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-64304a3226c243e8804c054efbab46f82025-02-03T06:11:55ZengWileyCase Reports in Medicine1687-96352022-01-01202210.1155/2022/6087176Kounis Syndrome Secondary to Laxative AdministrationMateo Zuluaga-Gómez0Daniel González-Arroyave1Carlos M. Ardila2Hospital San Vicente FundaciónHospital San Vicente FundaciónUniversidad de AntioquiaKounis syndrome (KS) is defined as an acute coronary syndrome triggered by the release of inflammatory mediators after an allergic attack. It usually occurs secondary to allergic injuries from foods, medications, and insect bites. However, there are no known reports of KS secondary to the intake of laxatives. This article reports the case of a 43-year-old woman who, after ingesting a dose of sodium phosphate monobasic/sodium phosphate dibasic, presented a maculopapular rash on the trunk and extremities. The electrocardiogram showed ST depression in V4-V5-V6 and signs of prolonged QTc; troponin I uptake was positive. Due to presumed myocardial injury and high suspicion of coronary disease, coronary angiography was requested, which showed epicardial coronary arteries, without angiographically significant stenosis, thus confirming the presence of KS secondary to the ingestion of a laxative.http://dx.doi.org/10.1155/2022/6087176 |
| spellingShingle | Mateo Zuluaga-Gómez Daniel González-Arroyave Carlos M. Ardila Kounis Syndrome Secondary to Laxative Administration Case Reports in Medicine |
| title | Kounis Syndrome Secondary to Laxative Administration |
| title_full | Kounis Syndrome Secondary to Laxative Administration |
| title_fullStr | Kounis Syndrome Secondary to Laxative Administration |
| title_full_unstemmed | Kounis Syndrome Secondary to Laxative Administration |
| title_short | Kounis Syndrome Secondary to Laxative Administration |
| title_sort | kounis syndrome secondary to laxative administration |
| url | http://dx.doi.org/10.1155/2022/6087176 |
| work_keys_str_mv | AT mateozuluagagomez kounissyndromesecondarytolaxativeadministration AT danielgonzalezarroyave kounissyndromesecondarytolaxativeadministration AT carlosmardila kounissyndromesecondarytolaxativeadministration |