Isquemia Miocárdica por vaso Espasmo Alérgico Secundario a Aines

Abstract

This present clinical case has as aim to analyze the kounis syndrome (KS) (ischemia, myocardium allergic vessel spasm) a masculine patient of 47 years old, mestizo, with atopic dermatitis since childhood and fixed drug erythema by sulfas for ten years. Three months before his entry, he presented an upper respiratory case, that’s why the doctor gave him primary care and the doctor prescribed ibuprofen, debuting with pruritis or itchy in elbows and knees with periods of exacerbation and spontaneous remission 48 hours before his entry he referred holocraneana headache he self – medicated ibuprofen and after that a precordial pain appears from moderated to intensive, similar to oppressive. But He didn’t get better with the resting, that’s why he arrived to emergency services. Electrocardiogram showed alterations with ischemia, normal cardiac enzymes, and established treatment protocol for acute coronary syndromes, without a segment elevations (NSTEACS) During his hospitalization he presented irritated injuries erythematous and desquamatives that coalesce in Scales, a cutaneous biopsy was done and reported a superficial peri vascular dermatitis and acute with eosinophilic infiltration compatible with a medication reaction. Due to the presence of NSTEACS associated with an allergically process, concluding in SK as type 1. During the analysis of this case, the opportunities were emphasized and health system access that the patient had, besides an update and exhaustive checking of the features related with this syndrome.