Özet:

Angina or acute coronary syndrome triggered by coronary vasospasm with allergic reaction, is called Kounis syndrome.Although Kounis syndrome is a well-known entity in cardiology practice, many patients still cannot be diagnosed for various reasons. A 38-year-old male patient was admitted to the emergency department with dyspnea, nausea, and chest pain. On the electrocardiogram, there was ST segment elevation at precardial derivations, especially at V2 and V3 derivations.An immediate coronary angiography was performed with the diagnosis of anterior miyocardial infarction.Normal coronary anatomy was detected. From the detailed anamnesis, it was learned that the patient was a heavy smoker and was using amoxicillin trihydrate 1000 mg, paracetamol 250 mg, oxolamine citrate 100 mg, and clorpheniramine maleate 2 mg orally and terbutaline sulphate as an inhaler for flu and cough. With these signs and symptoms the diagnosis was thought to be Kounis syndrome induced by amoxcillin. The lack of typical anaphylactic signs and symptoms were thought to be because of the oral antihystaminic and inhaler betamimetic drugs he used at the same time. A detailed anamnesis of acute coronary syndrome will provide correct diagnosis, treatment, and follow for of patients and prevent unnecessary interventional procedures.

Anahtar Kelimeler: