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

IF 1.1 4区医学 Q4 ONCOLOGY

Journal of Contemporary Brachytherapy Pub Date : 2025-04-01 Epub Date: 2025-05-09 DOI:10.5114/jcb.2025.151224

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

引用次数: 0

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.

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前列腺癌近距离放射治疗后因Kounis综合征致急性心肌梗死1例。

在近距离治疗期间和之后发生的主要全身并发症是罕见的。在此，我们描述了一例因低剂量率近距离放射治疗后因库尼斯综合征引起的急性心肌梗死，患者为70岁男性，对香蕉过敏。全麻下低剂量近距离放疗后，患者主诉全身瘙痒；心电图示心室颤动。心导管检查显示左侧前降支狭窄99%；因此，立即进行了经皮冠状动脉介入治疗。在这种情况下，被认为是库尼斯综合征，这是由于在经直肠超声检查中使用避孕套时对乳胶过敏引起的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Contemporary Brachytherapy ONCOLOGY-RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

CiteScore

2.40

自引率

14.30%

发文量

审稿时长

16 weeks

期刊介绍： The “Journal of Contemporary Brachytherapy” is an international and multidisciplinary journal that will publish papers of original research as well as reviews of articles. Main subjects of the journal include: clinical brachytherapy, combined modality treatment, advances in radiobiology, hyperthermia and tumour biology, as well as physical aspects relevant to brachytherapy, particularly in the field of imaging, dosimetry and radiation therapy planning. Original contributions will include experimental studies of combined modality treatment, tumor sensitization and normal tissue protection, molecular radiation biology, and clinical investigations of cancer treatment in brachytherapy. Another field of interest will be the educational part of the journal.