A case of possible Kounis syndrome as a complication of scombroid syndrome
Kounis syndrome is defined as the concurrence of acute coronary syndromes such as coronary spasm or acute myocardial infarction with conditions associated with activation of inflammatory mediators such histamine, arachidonic acid and various cytokines and chemokines. Recently, a variety of unusual e...
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| Language: | English |
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Edizioni FS
2017-11-01
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| Series: | Journal of Health and Social Sciences |
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| Online Access: | http://journalhss.com/wp-content/uploads/jhss23_329-335.pdf |
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| author | Stefano Rusconi Antonio Villa |
| author_facet | Stefano Rusconi Antonio Villa |
| author_sort | Stefano Rusconi |
| collection | DOAJ |
| description | Kounis syndrome is defined as the concurrence of acute coronary syndromes such as coronary spasm or acute myocardial infarction with conditions associated with activation of inflammatory mediators such histamine, arachidonic acid and various cytokines and chemokines. Recently, a variety of unusual etiologies have been reported, including scombroid syndrome. We present a case of a woman without previous history of cardiac diseases or cardiovascular risk factors, who presented to emergency department after the onset of flushing, asthenia, palpitations, burning sensation in the mouth having just eaten tuna. The electrocardiogram revealed a sinus tachycardia with diffuse ST segment depression. After therapy, in a short time symptoms recovered and a second electrocardiogram no longer showed any ST changes. These electrocardiographic changes observed in our case were probably due to transitory coronary vasospasm as described in type I variant of Kounis syndrome. |
| format | Article |
| id | doaj-art-acb9e15a03fc46ea97e1e883318012d7 |
| institution | Kabale University |
| issn | 2499-2240 2499-5886 |
| language | English |
| publishDate | 2017-11-01 |
| publisher | Edizioni FS |
| record_format | Article |
| series | Journal of Health and Social Sciences |
| spelling | doaj-art-acb9e15a03fc46ea97e1e883318012d72025-01-18T18:20:29ZengEdizioni FSJournal of Health and Social Sciences2499-22402499-58862017-11-012332933510.19204/2017/csfp9A case of possible Kounis syndrome as a complication of scombroid syndromeStefano Rusconi0Antonio Villa1Department of Emergency, ASST Monza, PO Desio, Monza, ItalyDepartment of Emergency, ASST Monza, PO Desio, Monza, ItalyKounis syndrome is defined as the concurrence of acute coronary syndromes such as coronary spasm or acute myocardial infarction with conditions associated with activation of inflammatory mediators such histamine, arachidonic acid and various cytokines and chemokines. Recently, a variety of unusual etiologies have been reported, including scombroid syndrome. We present a case of a woman without previous history of cardiac diseases or cardiovascular risk factors, who presented to emergency department after the onset of flushing, asthenia, palpitations, burning sensation in the mouth having just eaten tuna. The electrocardiogram revealed a sinus tachycardia with diffuse ST segment depression. After therapy, in a short time symptoms recovered and a second electrocardiogram no longer showed any ST changes. These electrocardiographic changes observed in our case were probably due to transitory coronary vasospasm as described in type I variant of Kounis syndrome.http://journalhss.com/wp-content/uploads/jhss23_329-335.pdfElectrocardiographic changeshistamine poisoningKounis syndromemyocardial ischemiascombroid syndrome |
| spellingShingle | Stefano Rusconi Antonio Villa A case of possible Kounis syndrome as a complication of scombroid syndrome Journal of Health and Social Sciences Electrocardiographic changes histamine poisoning Kounis syndrome myocardial ischemia scombroid syndrome |
| title | A case of possible Kounis syndrome as a complication of scombroid syndrome |
| title_full | A case of possible Kounis syndrome as a complication of scombroid syndrome |
| title_fullStr | A case of possible Kounis syndrome as a complication of scombroid syndrome |
| title_full_unstemmed | A case of possible Kounis syndrome as a complication of scombroid syndrome |
| title_short | A case of possible Kounis syndrome as a complication of scombroid syndrome |
| title_sort | case of possible kounis syndrome as a complication of scombroid syndrome |
| topic | Electrocardiographic changes histamine poisoning Kounis syndrome myocardial ischemia scombroid syndrome |
| url | http://journalhss.com/wp-content/uploads/jhss23_329-335.pdf |
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