| Acute myocardial injury following penicillin-associated anaphylactic reaction in a patient with normal coronary arteries. | |
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MedLine Citation:
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PMID: 18030189 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cardiac involvement is uncommon and important clinical finding during an anaphylactic reaction, and it occurs primarily in subjects with underlying ischemic heart disease. The main mechanism proposed is the vasospasm of coronary arteries. We report a rare case of acute ST-elevation myocardial injury after penicillin-induced anaphylaxis in a patient with normal coronary arteries. Physicians should be alert for such a serious complication in order to diagnose it early and treat properly. We suggest that cardiac monitoring and appropriate therapy should be available for patients with severe allergic reactions especially during parenteral administration of epinephrine. |
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Authors:
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Zachary Z Brener; Igor Zhuravenko; Michael Bergman |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The American journal of the medical sciences Volume: 334 ISSN: 0002-9629 ISO Abbreviation: Am. J. Med. Sci. Publication Date: 2007 Oct |
Date Detail:
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Created Date: 2007-11-21 Completed Date: 2007-12-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370506 Medline TA: Am J Med Sci Country: United States |
Other Details:
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Languages: eng Pagination: 305-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Medicine, Beth Israel Medical Center, 350 E. 17th Street, New York, NY 10003, USA. brenerz@yahoo.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Anaphylaxis / chemically induced*, complications* Cardiomyopathies / diagnosis, etiology*, physiopathology Coronary Vasospasm / complications, physiopathology Coronary Vessels / physiology* Female Humans Middle Aged Penicillins / adverse effects* |
| Chemical | |
Reg. No./Substance:
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0/Penicillins |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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