A Rare Cause of Life-Threatening Chest Pain: Kounis Syndrome

TL;DR

Kounis syndrome is a rare but dangerous condition where allergic reactions cause chest pain, and early diagnosis is crucial to prevent life-threatening outcomes.

Contribution

The paper presents a case of type I Kounis syndrome and emphasizes the importance of early recognition and treatment.

Findings

A 50-year-old female was diagnosed with type I Kounis syndrome after presenting with chest pain and allergic symptoms.

Treatment with diltiazem and prednisolone resolved the patient's symptoms completely.

Early diagnosis and intervention are critical to prevent fatal outcomes in Kounis syndrome.

Abstract

Kounis syndrome, defined as an acute coronary syndrome triggered by allergic or hypersensitivity reactions, is a rare yet potentially life-threatening condition. This report details the case of a 50-year-old female patient presenting with recurrent chest pain, hypereosinophilia, and allergic comorbidities, who was ultimately diagnosed with type I Kounis syndrome. Modifications to her treatment regimen, including the administration of diltiazem and prednisolone, led to a complete resolution of her symptoms. This case highlights the critical importance of early diagnosis and timely intervention in managing Kounis syndrome. Early recognition is essential to prevent potentially fatal outcomes, thereby emphasizing the need for increased awareness among healthcare professionals.

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