Abstract
We present a patient with severe anaphylaxis, angioedema, hypotension and shock. The near fatal allergic reaction was caused by eating yogurt with muesli containing pine nuts. The patient developed an acute infero-posterolateral myocardial infarction due to systemic hypotension and shock. Food allergy to pine nut was demonstrated by dosage of specific IgE to pine nut.
MeSH terms
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Anaphylaxis / diagnosis
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Anaphylaxis / etiology*
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Antibodies, Anti-Idiotypic / analysis
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Diagnosis, Differential
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Humans
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Immunoglobulin E / immunology
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Male
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Middle Aged
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Nut Hypersensitivity / complications*
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Nut Hypersensitivity / diagnosis
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Nuts / adverse effects*
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Pinus / adverse effects*
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Yogurt / adverse effects*
Substances
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Antibodies, Anti-Idiotypic
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Immunoglobulin E