Type II Kounis Syndrome Secondary to Amoxicillin Allergy
Hrushikesh Reddy Pamreddy, Arihant Surana, Krishna Sagar Gajula, Usama Talib, Allen Filliberti · 2026
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Description
Hrushikesh Reddy Pamreddy and colleagues report a 2026 case of allergy-driven heart attack after amoxicillin in a 64-year-old woman. Thirty minutes after one pill for a groin rash, she swelled, flushed, and struggled to breathe, with blood pressure crashing to 55 over 33. Allergy treatment helped her pressure, but chest pain and inferior ST elevations then pointed to a blocked mid right coronary artery.
Emergency catheterisation and a drug-coated stent reopened the artery, fitting type II Kounis syndrome, where allergy unmasks plaque disease. Only about three such female amoxicillin cases exist in the literature, the authors note. Chest pain during anaphylaxis must trigger an immediate heart trace, since allergy and heart attack care pull in opposite directions and both must be balanced at once.
Catalog record
| CREATOR | Hrushikesh Reddy Pamreddy, Arihant Surana, Krishna Sagar Gajula, Usama Talib, Allen Filliberti |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 15 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |