Abstract：
:A 60-year-old male was bitten by a venomous snake (Vipera ammodytes) and gradually developed signs of an allergic reaction including generalized itching, generalized rash, and chest discomfort. This was followed by severe retrosternal pain with electrocardiographic evidence of an inferior myocardial ischemia progressing to acute myocardial infarction. Cardiac enzymes and troponin, serum tryptase, and histamine were elevated. Coronary arteriography showed normal coronary arteries. This is a characteristic type I variant of Kounis syndrome, which is the concurrence of acute coronary syndromes with conditions associated with mast cell activation including allergic or hypersensitivity reactions as well as anaphylactic or anaphylactoid reactions. This is the first report to show that viper bites can induce allergic angina and/or allergic myocardial infarction.
journal_name
Eur J Intern Medjournal_title
European journal of internal medicineauthors
Frangides C,Kouni S,Niarchos C,Koutsojannis Cdoi
10.1016/j.ejim.2005.11.016subject
Has Abstractpub_date
2006-05-01 00:00:00pages
215-6issue
3eissn
0953-6205issn
1879-0828pii
S0953-6205(06)00030-6journal_volume
17pub_type
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