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一例前列腺癌近距离放射治疗后因库尼斯综合征导致的急性心肌梗死病例。

A case of acute myocardial infarction due to Kounis syndrome after brachytherapy for prostate cancer.

作者信息

Mori Shoji, Fukagai Takashi, Oshinomi Kazuhiko, Nagata Masakazu, Morita Masashi, Kato Masako, Morota Madoka, Ito Yoshinori, Furuya Takahiro

机构信息

Department of Urology, Showa Medical University, Tokyo, Japan.

Division of Radiation Oncology, Department of Radiology, Showa Medical University, Tokyo, Japan.

出版信息

J Contemp Brachytherapy. 2025 Apr;17(2):149-152. doi: 10.5114/jcb.2025.151224. Epub 2025 May 9.

Abstract

Major systemic complications during and immediately after brachytherapy are rare. Herein, we described a case of acute myocardial infarction due to Kounis syndrome after low-dose-rate brachytherapy in a 70-year-old man with a banana allergy. Following low-dose-rate brachytherapy under general anesthesia, the patient complained of itching throughout his body; electrocardiography showed ventricular fibrillation. Cardiac catheterization revealed 99% stenosis in the left anterior descending artery; consequently, percutaneous coronary intervention was performed promptly. In this case, Kounis syndrome was considered, which was caused by latex allergy to condoms used during trans-rectal ultrasound examinations.

摘要

近距离放射治疗期间及治疗后立即出现的严重全身并发症很少见。在此,我们描述了一例70岁对香蕉过敏的男性在低剂量率近距离放射治疗后因库尼斯综合征导致急性心肌梗死的病例。在全身麻醉下进行低剂量率近距离放射治疗后,患者主诉全身瘙痒;心电图显示心室颤动。心脏导管检查显示左前降支动脉狭窄99%;因此,立即进行了经皮冠状动脉介入治疗。在本病例中,考虑为库尼斯综合征,其由经直肠超声检查期间使用的避孕套乳胶过敏引起。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b977/12140146/7b9c980323d8/JCB-17-56086-g001.jpg

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