Intraoperative cardiac arrest due to allergic acute coronary syndrome (Kounis syndrome) triggered by cephalosporin

Thiruthani Kumaran; Srinath Damodaran; Akshaya Pratap Singh; Muralidhar Kanchi

doi:10.4103/aca.aca_302_20

Intraoperative cardiac arrest due to allergic acute coronary syndrome (Kounis syndrome) triggered by cephalosporin

Ann Card Anaesth. 2023 Apr-Jun;26(2):219-222. doi: 10.4103/aca.aca_302_20.

Authors

Thiruthani Kumaran¹, Srinath Damodaran², Akshaya Pratap Singh¹, Muralidhar Kanchi²

Affiliations

¹ Department of Cardio-Thoracic Surgery, Narayana Institute of Cardiac Sciences, Narayana Health City, Bangalore, Karnataka, India.
² Department of Anaesthesia and Intensive Care, Narayana Institute of Cardiac Sciences, Narayana Health City, Bangalore, Karnataka, India.

Abstract

An acute coronary syndrome due to mast-cell activation in the presence of an allergen is known as Kounis Syndrome (KS). This relatively new entity of KS is being increasingly recognized among allergists, cardiologists, and emergency physicians; however, it is not well-known among anesthesiologists. We report here, a case of type 2 KS due to antibiotic administration causing sudden perioperative cardiac arrest.

Keywords: Allergy; Kounis Syndrome; allergic myocardial infarction; anaphylaxis; cardiac arrest.

Publication types

Case Reports

MeSH terms

Acute Coronary Syndrome* / complications
Anaphylaxis* / chemically induced
Cephalosporins
Heart Arrest* / chemically induced
Heart Arrest* / therapy
Humans
Kounis Syndrome* / complications

Substances

Cephalosporins