Kocaeli Med J. 2024; 13(3): 217-219 | DOI: 10.5505/ktd.2024.08466

Acute Coronary Vasospasm Associated with Succinylated Gelatin: A Case Report of Kounis Syndrome

Erhan Karaca¹, Emre Kýsa¹, Hatice Durmuþ Karaca¹, Nagihan Gözde Kýsa^2
1University of Health Sciences, Kocaeli Derince Training and Research Hospital, Department of Anesthesia and Reanimation, Kocaeli, Turkey
²Golcuk Necati Celik Public Hospital, Department of Anesthesia and Reanimation, Kocaeli, Turkey

Kounis syndrome is an acute coronary syndrome due to activation of mast cells after exposure to an allergen. The most important step in the diagnosis of Kounis syndrome is to consider that the appearance of the picture as a result of chest pain and ECG changes may be due to a hypersensitivity reaction. We aimed to present a case of Kounis Syndrome due to the use of succinylated gelatin-based colloid, which is used as a volume expander, and our treatment approach in the light of the literature.

Keywords: kounis syndrome, hypersensitivity, intensive care, colloid

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Süksinile Jelatinle Ýliþkili Akut Koroner Vazospazm: Kounis Sendromu Olgu Sunumu

Erhan Karaca¹, Emre Kýsa¹, Hatice Durmuþ Karaca¹, Nagihan Gözde Kýsa^2
1Saðlýk Bilimleri Üniversitesi, Kocaeli Derince Eðitim ve Araþtýrma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniði, Kocaeli, Türkiye
²Gölcük Necati Çelik Devlet Hastanesi, Anesteziyoloji ve Reanimasyon Kliniði, Kocaeli, Türkiye

Kounis sendromu alerjene maruziyet sonrasýnda mast hücrelerinin aktivasyonuna baðlý bir akut koroner sendromdur. Kounis sendromunun tanýsýnda en önemli basamak göðüs aðrýsý ve EKG deðiþiklikleri neticesinde tablonun ortaya çýkýþýnýn bir hipersensitivite reaksiyonuna baðlý olabileceðinin akla getirilmesidir. Biz de volüm geniþletici olarak kullanýlan süksinile jelatin bazlý kolloid kullanýmýna baðlý geliþen Kounis Sendromu olgusunu ve litaratür eþliðinde tedavi yaklaþýmýmýzý sunmayý amaçladýk.

Anahtar Kelimeler: kounis sendromu, hipersensitivite, yoðun bakým, kolloid

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