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ACUTE MYOCARDIAL INFARCTION AFTER THE USE OF AMOXICILLIN/CLAVULANI C ACID: TYPE I KOUNIS SYNDROME [YMJ]
YMJ. 2010; 4(15): 304-308

ACUTE MYOCARDIAL INFARCTION AFTER THE USE OF AMOXICILLIN/CLAVULANI C ACID: TYPE I KOUNIS SYNDROME

Kadriye Orta Kilickesmez1, Okay Abaci2, Omer Ezzat2, Ugur Coskun3, Serdar Kucukoglu4
1Istanbul University, School of Medicine Institute of Cardiology, Department of Cardiology Instructor of Cardiology.
2Istanbul University, School of Medicine Institute of Cardiology, Department of Cardiology Resident of Cardiology.
3Istanbul University, School of Medicine Institute of Cardiology, Department of Cardiology Instructor of Cardiology.Istanbul University, School of Medicine Institute of Cardiology, Department of Cardiology Professor of Cardiology.Istanbul University, School of Medicine Institute of Cardiology, Department of Cardiology Professor of Cardiology.
4Istanbul University, School of Medicine Institute of Cardiology, Department of Cardiology Professor of Cardiology.

In 1991, Kounis and Zavras described the syndrome of allergic angina that can progress to allergic myocardial infarction accompanied by the clinical manifestation, laboratory and electrocardiographic findings of classic angina and myocardial infarction. This report discusses a patient who recieved amoxicillin/clavulanic acid treatment for a flu-like ilness after which he started to develop manifestation of ACS with ST elevation. All other etiologies were appropriately ruled out.

Keywords: Kounis syndrome; allergic myocardial angina; amoxicillin/clavulanic acid.

AMOKSİSİLİN KULLANIMI SONRASI GELİŞEN AKUT MİYOKARD İNFARKTÜSÜ TİP 1 KOUNİS SENDROMU

Kadriye Orta Kilickesmez1, Okay Abaci2, Omer Ezzat2, Ugur Coskun3, Serdar Kucukoglu4
1Istanbul University, School of Medicine Institute of Cardiology, Department of Cardiology Instructor of Cardiology.
2Istanbul University, School of Medicine Institute of Cardiology, Department of Cardiology Resident of Cardiology.
3Istanbul University, School of Medicine Institute of Cardiology, Department of Cardiology Instructor of Cardiology.Istanbul University, School of Medicine Institute of Cardiology, Department of Cardiology Professor of Cardiology.Istanbul University, School of Medicine Institute of Cardiology, Department of Cardiology Professor of Cardiology.
4Istanbul University, School of Medicine Institute of Cardiology, Department of Cardiology Professor of Cardiology.

Kounis ve Zavras 1991 yılında, klasik anjina ve miyokard enfarktüsünün klinik, elektrokardiografik ve laboratuar bulgularını içeren alerjik myokard enfarktüsüne ilerleyebilen, alerjik anjina sendromunu tanımladılar. Bu olgu sunumunda grip benzeri semptomlar sonrasında amoksisilin/klavulanik asit tedavisi alan bir hastada ST elevasyonlu akut koroner sendrom gelişimi tartışılmıştır. Diğer etyolojik nedenler dışlanmıştır.

Anahtar Kelimeler: Kounis sendromu; alerjik miyokardial anjina; amoksisilin/klavulanik asid.
Kadriye Orta Kilickesmez, Okay Abaci, Omer Ezzat, Ugur Coskun, Serdar Kucukoglu. ACUTE MYOCARDIAL INFARCTION AFTER THE USE OF AMOXICILLIN/CLAVULANI C ACID: TYPE I KOUNIS SYNDROME. YMJ. 2010; 4(15): 304-308
Manuscript Language: English
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