抗生素会引起急性冠状动脉综合征吗？术后对阿莫西林过敏引起的Kounis综合征：一个临床病例

IF 1.3 Q3 ANESTHESIOLOGY

Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2026-08-01 Epub Date: 2026-02-18 DOI:10.1016/j.redar.2026.502035

M. Bernaola, A. Gago, A. Umpiérrez, E. López-Soberón, N.G. Kounis

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引用次数: 0

摘要

Kounis综合征（KS）是一种急性冠状动脉综合征，由过敏或超敏反应引起的肥大细胞脱颗粒引起。药物引起的KS，特别是阿莫西林等抗生素引起的KS，是一种严重且可能危及生命的疾病。本文旨在分析阿莫西林过敏致KS的病理生理、临床表现、诊断方法和治疗策略，并重点介绍近年来的文献和新出现的治疗见解。

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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¿Puede un antibiótico provocar un síndrome coronario agudo? Síndrome de Kounis inducido por alergia intraoperatoria a amoxicilina: un caso clínico

Kounis syndrome (KS) is an acute coronary syndrome triggered by mast cell degranulation in response to allergic or hypersensitivity reactions. Drug-induced KS, particularly due to antibiotics like amoxicillin, represents a severe and potentially life-threatening condition. This review aims to analyze the pathophysiology, clinical manifestations, diagnostic approaches, and management strategies of KS induced by amoxicillin allergy, with a focus on recent literature and emerging therapeutic insights.

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