A case of myocardial infarction following the use of clarithromycin
Abstract
SUMMARY
Kounis syndrome is the consensus of acute coronary syndromes with conditions conjunction with cell activation(mast, eosinophil.) following an allergic pathology. Our case report a 65-year-old man who happened a ST-segment elevation myocardial infarction after used clarithromycin. Our patient did not occur signs of anaphylaxis or shock, however this situation occured three days after use. Patient’s coronary angiography showed right coronary artery occluding the vessel partially,however it was completely patent ten days ago. We explicated our patient’s situation as an impression of Kounis syndrome. To our knowledge, this is the first case of Kounis syndrome showing may caused by use clarithromycin.
Keywords: Kounis syndrome, myocardial infarction, thrombosis
ÖZET
Kounis sendromu hücresel aktivasyonu(mast, eozinofil) takiben gelişen akut koroner sendrom ile ilişkili allerjik patolojidir. Vakamız klaritromisin kullanımını takiben gelişen ST elevasyonlu miyokard infarktüsü olan 65 yaşında erkek hastadır. Hastada anaflaksi veya şok bulgusu yoktu, fakat bu durum kullanımdan 3 gün sonra gelişti. Hastanın koroner anjiyografisinde sağ koroner arterde tıkanıklık saptandı, bununla birlikte on gün önce tamamen açık saptandı. Bu hastamızdaki durumu kounis sendromu olarak değerlendirdik. Literatürdeki klaritromisin kullanımına bağlı gelişen ilk vakadır.
Anahtar sözcükler: Kounis sendromu, miyokard infarktüsü, tromboz
Keywords
References
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Details
Primary Language
English
Subjects
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Journal Section
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Publication Date
July 1, 2015
Submission Date
December 27, 2014
Acceptance Date
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Published in Issue
Year 2015 Volume: 37 Number: 2