Kounis syndrome after anti-snake venom intradermal skin test: A case report

Mai Mohammad Elgendy; Somaya Abdel-Gawad Madkour; Abeer Abd El-Moneim Sheta; Emad Hamdy Hamouda; Sara Attia Ghitani

doi:10.1016/j.toxicon.2023.107281

Kounis syndrome after anti-snake venom intradermal skin test: A case report

Toxicon. 2023 Oct:234:107281. doi: 10.1016/j.toxicon.2023.107281. Epub 2023 Sep 7.

Authors

Mai Mohammad Elgendy¹, Somaya Abdel-Gawad Madkour², Abeer Abd El-Moneim Sheta², Emad Hamdy Hamouda³, Sara Attia Ghitani²

Affiliations

¹ Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Alexandria University, Egypt. Electronic address: m_hamed16@alexmed.edu.eg.
² Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Alexandria University, Egypt.
³ Critical Care Medicine, Faculty of Medicine, Alexandria University, Egypt.

PMID: 37678580
DOI: 10.1016/j.toxicon.2023.107281

Abstract

Snake bites are a concerning health problem in Egypt and other tropical countries that are effectively managed with anti-snake venom (ASV). ASV has common reactive complications that are usually mild. Rarely, anaphylaxis and severe systemic reactions may occur following ASV. In this case report, we present a rare condition of Kounis syndrome, acute allergic myocardial infarction, in a young man during anaphylaxis following an allergic intradermal test of VACSERA snake antivenom.

Keywords: Anaphylaxis; Anti-snake antivenom; Kounis syndrome; Myocardial infarction; Skin test; Snakebite.

Publication types

Case Reports