Kıvrak, Tarık Sivas State Hospital - Cardiology Clinic, Turkey , Kaya, Hakkı Cumhuriyet University - School of Medicine - Department of Cardiology, Turkey , Akaslan, Dursun Sivas State Hospital - Cardiology Clinic, Turkey

A case of myocardial infarction following the use of clarithromycin

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Kounis syndrome is the consensus of acute coronary syndromes with conditions conjunction withcell activation(mast, eosinophil.) following an allergic pathology. Our case report a 65-year-oldman who happened a ST-segment elevation myocardial infarction after used clarithromycin. Ourpatient did not occur signs of anaphylaxis or shock, however this situation occured three days after use. Patient’s coronary angiography showed right coronary artery occluding the vesselpartially,however it was completely patent ten days ago. We explicated our patient’s situation asan impression of Kounis syndrome. To our knowledge, this is the first case of Kounis syndromeshowing may caused by use clarithromycin.

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Kounis syndrome , myocardial infarction , thrombosis

Cumhuriyet Medical Journal

169