Abstract
Objective Kounis Syndrome (KS) is described as temporary vasospasm of coronary arteries after exposure to an allergen. It may present as severe chest pain, ST elevated or non-ST elevated myocardial infarction. Among factors causing KS are bee stings, all kinds of medications and food. Case A 25-year-old female patient developed dyspnea and syncope following metamizole infusion. During follow-up in Emergency department, she developed severe chest pain and blood results revealed Troponin I elevation. She underwent coronary angiogram and any narrowing in coronary arteries was not determined. After hospitalization in the Intensive Care Unit with supportive therapy, levels of Troponin I decreased and the patient was discharged with a total recovery. Conclusion Emergency physicians must be aware of this rare entity in order to prevent mortality and morbidity. ( Sakarya Med J 2016, 6(3):170-174 )
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