BMJ Case Reports 2013; doi:10.1136/bcr-2012-007581
  • Rare disease

Intraoperative myocardial infarction: Kounis syndrome provoked by latex allergy

  1. Brian Brownbridge2
  1. 1Department of Internal Medicine, University of Saskatchewan, Saskatoon, Canada
  2. 2Department of Anesthesia, University of Saskatchewan, Saskatoon, Canada
  1. Correspondence to Veronica Marcoux, vsm940{at}


We report the case of a 43-year-old man with anaphylactic shock and concurrent ST-elevation myocardial infarction during a planned inguinal hernia surgery. This event occurred shortly after introduction of latex into the surgical field. Coronary angiography revealed a 70% occlusive lesion in the right coronary artery. Further discussion with the patient revealed a potential latex allergy. Skin prick testing showed marked sensitisation to latex. The patient was subsequently diagnosed with the type II variant of Kounis syndrome.

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