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Kounis syndrome as a result of anaphylactic reaction to diclofenac sodium: A case report

Year 2018, Volume: 2 Issue: 3, 337 - 338, 01.09.2018
https://doi.org/10.28982/josam.402775

Abstract

Kounis syndrome refers to acute coronary syndromes of varying degrees (myocardial ischaemia to infarction) induced by mast cell activation as a result of allergic and anaphylactic reactions. Following subclinical, acute or chronic allergic reactions, it has a clinical spectrum ranging from chest pain to ST segment elevated myocardial infarction. The trigger of the allergic reaction can be drugs, food, environmental factors (insect bite, bee sting, pollen, latex contact). We present a case of a patient who developed Kounis syndrome as a result of anaphylactic reaction to Voltaren (Diclofenac sodium) which is one of the drugs widely used in the emergency departments as intramuscular pain killer. 

References

  • 1. Kounis NG, Zavras GM. Histamine-induced coronary artery spasm: the concept of allergic angina. Br J Clin Pract. 1991;45(2):121-8.
  • 2. Gazquez V, Dalmau G, Gaig P, Gomez C, Navarro S. Kounis syndrome: Report of 5 cases. J Investig Allergol Clin Immunol. 2010;20(2):162-5.
  • 3. Kounis NG. Kounis syndrome (allergic angina and allergic myocardial infarction): A natural paradigm? Int J Cardiol 2006;110(1):7-14.
  • 4. Nikolaidis LA, Kounis NG, Gradman AH. Allergic angina and allergic myocardial infarction: a new twist on an old syndrome. Can J Cardiol. 2002;18(5):508-11.
  • 5. Tok D, Özcan F, Şentürk B, Gölbaşı Z. Parenteral penisilin kullanımını takiben gelişen akut koroner sendrom olgusu: Kounis sendromu. Arch Turk Soc Cardiol. 2012;40(7):615-9.
  • 6. Fox DJ, Gray TP, Fath-Ordoubadi F. Myocardial infarction after aspirin treatment. J R Soc Med. 2005;98(1):21-3.
  • 7. Brown AF, McKinnon D, Chu K. Emergency department anaphylaxis: A review of 142 patients in a single year. J Allergy Clin Immunol. 2001;108(5):861-6.
  • 8. Hadar A, Holcberg G, Mazor M. Anaphylactic shock after diclofenac sodium(Voltaren)]. Harefuah. 2000 Feb 1;138(3):211-2.
  • 9. Colak S, Gunes H, Afacan MA, Kandis H, Erdoğan MO,Ayrancı M. Anaphylaxis after intramuscular injection of diclofenak sodium. Am J Emerg Med. 2014 Jan 3. pii: S0735-6757(13)00908-X. doi: 10.1016/j.ajem.2013.12.049.
  • 10. Tiwari AK, Tomar GS, Ganguly CS, Kapoor MC. Kounis syndrome resulting from anaphylaxis to diclofenac. Indian J Anaesth. 2013 May;57(3):282-4.

Diklofenak sodyum kullanımı sonrası anafilaktik reaksiyon sonucu gelişen Kounis sendromu: Olgu sunumu

Year 2018, Volume: 2 Issue: 3, 337 - 338, 01.09.2018
https://doi.org/10.28982/josam.402775

Abstract

Kounis sendromu mast hücrelerinin etkinleşmesi ile seyreden alerji, hipersensitivite, anaflaksi veya anaflaktoid reaksiyonlarla ilişkili olarak akut koroner sendromun değişik derecelerini ifade eder. Subklinik olarak akut veya kronik alerjik reaksiyona eşlik eden ve göğüs ağrısından başlayıp ST elavasyonlu miyokard enfarktüsü kadar uzanan bir klinik spektruma sahiptir. İlaçlar, yiyecekler, çevresel etkenler (böcek ısırması, arı sokması, polenler, lateks teması gibi) alerjik reaksiyonu tetikleyen neden olabilir. Burada, acil servislerde yaygın olarak kullanılan Voltaren’e (Diklofenak sodyum) bağlı gelişen anafilaktik reaksiyonu olan bir Kounis sendrom vakasını sunuyoruz.

References

  • 1. Kounis NG, Zavras GM. Histamine-induced coronary artery spasm: the concept of allergic angina. Br J Clin Pract. 1991;45(2):121-8.
  • 2. Gazquez V, Dalmau G, Gaig P, Gomez C, Navarro S. Kounis syndrome: Report of 5 cases. J Investig Allergol Clin Immunol. 2010;20(2):162-5.
  • 3. Kounis NG. Kounis syndrome (allergic angina and allergic myocardial infarction): A natural paradigm? Int J Cardiol 2006;110(1):7-14.
  • 4. Nikolaidis LA, Kounis NG, Gradman AH. Allergic angina and allergic myocardial infarction: a new twist on an old syndrome. Can J Cardiol. 2002;18(5):508-11.
  • 5. Tok D, Özcan F, Şentürk B, Gölbaşı Z. Parenteral penisilin kullanımını takiben gelişen akut koroner sendrom olgusu: Kounis sendromu. Arch Turk Soc Cardiol. 2012;40(7):615-9.
  • 6. Fox DJ, Gray TP, Fath-Ordoubadi F. Myocardial infarction after aspirin treatment. J R Soc Med. 2005;98(1):21-3.
  • 7. Brown AF, McKinnon D, Chu K. Emergency department anaphylaxis: A review of 142 patients in a single year. J Allergy Clin Immunol. 2001;108(5):861-6.
  • 8. Hadar A, Holcberg G, Mazor M. Anaphylactic shock after diclofenac sodium(Voltaren)]. Harefuah. 2000 Feb 1;138(3):211-2.
  • 9. Colak S, Gunes H, Afacan MA, Kandis H, Erdoğan MO,Ayrancı M. Anaphylaxis after intramuscular injection of diclofenak sodium. Am J Emerg Med. 2014 Jan 3. pii: S0735-6757(13)00908-X. doi: 10.1016/j.ajem.2013.12.049.
  • 10. Tiwari AK, Tomar GS, Ganguly CS, Kapoor MC. Kounis syndrome resulting from anaphylaxis to diclofenac. Indian J Anaesth. 2013 May;57(3):282-4.
There are 10 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases
Journal Section Case report
Authors

Abdullah İbrahim

Şahin Çolak

Mehmet Özgür Erdoğan

Mustafa Ahmet Afacan

Ayhan Sarıtaş

Hayati Kandiş

Publication Date September 1, 2018
Published in Issue Year 2018 Volume: 2 Issue: 3

Cite

APA İbrahim, A., Çolak, Ş., Erdoğan, M. Ö., Afacan, M. A., et al. (2018). Kounis syndrome as a result of anaphylactic reaction to diclofenac sodium: A case report. Journal of Surgery and Medicine, 2(3), 337-338. https://doi.org/10.28982/josam.402775
AMA İbrahim A, Çolak Ş, Erdoğan MÖ, Afacan MA, Sarıtaş A, Kandiş H. Kounis syndrome as a result of anaphylactic reaction to diclofenac sodium: A case report. J Surg Med. September 2018;2(3):337-338. doi:10.28982/josam.402775
Chicago İbrahim, Abdullah, Şahin Çolak, Mehmet Özgür Erdoğan, Mustafa Ahmet Afacan, Ayhan Sarıtaş, and Hayati Kandiş. “Kounis Syndrome As a Result of Anaphylactic Reaction to Diclofenac Sodium: A Case Report”. Journal of Surgery and Medicine 2, no. 3 (September 2018): 337-38. https://doi.org/10.28982/josam.402775.
EndNote İbrahim A, Çolak Ş, Erdoğan MÖ, Afacan MA, Sarıtaş A, Kandiş H (September 1, 2018) Kounis syndrome as a result of anaphylactic reaction to diclofenac sodium: A case report. Journal of Surgery and Medicine 2 3 337–338.
IEEE A. İbrahim, Ş. Çolak, M. Ö. Erdoğan, M. A. Afacan, A. Sarıtaş, and H. Kandiş, “Kounis syndrome as a result of anaphylactic reaction to diclofenac sodium: A case report”, J Surg Med, vol. 2, no. 3, pp. 337–338, 2018, doi: 10.28982/josam.402775.
ISNAD İbrahim, Abdullah et al. “Kounis Syndrome As a Result of Anaphylactic Reaction to Diclofenac Sodium: A Case Report”. Journal of Surgery and Medicine 2/3 (September 2018), 337-338. https://doi.org/10.28982/josam.402775.
JAMA İbrahim A, Çolak Ş, Erdoğan MÖ, Afacan MA, Sarıtaş A, Kandiş H. Kounis syndrome as a result of anaphylactic reaction to diclofenac sodium: A case report. J Surg Med. 2018;2:337–338.
MLA İbrahim, Abdullah et al. “Kounis Syndrome As a Result of Anaphylactic Reaction to Diclofenac Sodium: A Case Report”. Journal of Surgery and Medicine, vol. 2, no. 3, 2018, pp. 337-8, doi:10.28982/josam.402775.
Vancouver İbrahim A, Çolak Ş, Erdoğan MÖ, Afacan MA, Sarıtaş A, Kandiş H. Kounis syndrome as a result of anaphylactic reaction to diclofenac sodium: A case report. J Surg Med. 2018;2(3):337-8.