Deng Yun-Wu, Tsuei Yi-Wei
Landseed International Hospital Department of Emergency Medicine Taoyuan Taiwan.
Taoyuan Armed Forces General Hospital Department of Emergency Medicine Taoyuan Taiwan.
J Acute Med. 2020 Dec 1;10(4):156-160. doi: 10.6705/j.jacme.202012_10(4).0004.
A 72-year-old woman with an ant bite on her hand presented with anaphylaxis at the scene and chest pain in the emergency department.Electrocardiography showed a myocardial infarction with inferior and lateral wall ST elevation. She received percutaneous coronary intervention. The results revealed left anterior descending branch and right coronary artery obstruction. After stenting, she was discharged in good condition. Kounis syndrome was diagnosed. Emergency physicians should be alert to acute coronary syndrome following anaphylaxis.
一名72岁女性手部被蚂蚁叮咬，在现场出现过敏反应，在急诊科出现胸痛。心电图显示下壁和侧壁ST段抬高型心肌梗死。她接受了经皮冠状动脉介入治疗。结果显示左前降支和右冠状动脉阻塞。支架置入术后，她状况良好出院。诊断为库尼斯综合征。急诊医生应警惕过敏反应后发生的急性冠状动脉综合征。
