Kounis syndrome Type 1 in a patient with an allergic reaction to amoxicillin
Keywords:
allergic myocardial infarction, angina pectoris variant, hypersensitivity, Kounis syndromeAbstract
Introduction: Kounis syndrome is a complex and potentially serious clinical entity characterized by the concurrent occurrence of an acute coronary syndrome and an allergic or hypersensitivity reaction.
Objective: To collect the clinical, electrocardiographic and imaging manifestations of Kounis syndrome in the context of an allergic reaction to amoxicillin.
Clinical Case: A 45-year-old male patient with a known history of penicillin allergy. The electrocardiogram revealed ST-segment elevation greater than 2 mm in leads II, III, and aVF, along with ST-segment depression in leads aVL and V2.
Conclusion: Kounis syndrome can present at any age and combines allergic reactions with cardiac involvement. Its management requires a careful balance between treating hypersensitivity and ensuring cardiovascular stability.
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Copyright (c) 2025 Lila Alicia Echevarría Sifontes, Luis Mariano de la Torre Fonseca, Adrian Mauricio Naranjo Pacheco, Henry David Suárez Arias, Génesis Nicole Pezo Rodríguez, Alexer Torres Figuera
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