Onion-induced anaphylactic shock rapidly evolving to allergic right ventricular myocardial infarction and subsequent cardiogenic shock

Li Wen Hsu, Sheng Wen Hou, Bor Hen Wu, Tzong Luen Wang, Tzu Yao Hung

研究成果: 雜誌貢獻文章同行評審

1 引文 斯高帕斯(Scopus)

摘要

The type II variant of Kounis syndrome is defined as a rare allergic myocardial angina or infarction event in patients with preexisting quiescent coronary artery disease. Various causative factors have been implicated in the etiology of Kounis syndrome. However, reports highlighting the importance of recognizing a decreased preload caused by allergic right ventricular (RV) myocardial infarction and subsequent cardiogenic shock from ongoing anaphylactic shock are rare. Here we report the case of a 54-year-old male who initially presented with anaphylactic shock after ingesting onions. His condition silently progressed to RV infarction and cardiogenic shock within 2 hours of symptom onset. Under such instances, it is crucial to promptly identify RV infarction and cardiogenic shock by repeatedly performing electrocardiography at frequent intervals.

原文英語
頁(從 - 到)117-120
頁數4
期刊Journal of Acute Medicine
2
發行號4
DOIs
出版狀態已發佈 - 十二月 1 2012
對外發佈

ASJC Scopus subject areas

  • 重症監護和重症監護醫學
  • 急診醫學

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