<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-2448</journal-id>
<journal-title><![CDATA[Acta Medica Colombiana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Med Colomb]]></abbrev-journal-title>
<issn>0120-2448</issn>
<publisher>
<publisher-name><![CDATA[Asociacion Colombiana de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-24482022000300100</article-id>
<article-id pub-id-type="doi">10.36104/amc.2022.2289</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Perioperative Kounis syndrome in an older adult]]></article-title>
<article-title xml:lang="es"><![CDATA[Síndrome de Kounis perioperatorio en una adulta mayor]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[CASTAÑEDA-CAMACHO]]></surname>
<given-names><![CDATA[HÉCTOR ANDRÉS]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[MENDOZA-PÉREZ]]></surname>
<given-names><![CDATA[ANDREA CAROLINA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[PINZÓN-RODRÍGUEZ]]></surname>
<given-names><![CDATA[MARTHA CAROLINA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[REYES-PEÑA]]></surname>
<given-names><![CDATA[SONIA ELIZABETH]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[SALAZAR-REYES]]></surname>
<given-names><![CDATA[ANDRÉS YOBANY]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[VARGAS-RODRÍGUEZ]]></surname>
<given-names><![CDATA[LEDMAR JOVANNY]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario San Rafael Tunja  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario San Rafael Tunja  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario San Rafael Tunja Médica Interna ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Universitario San Rafael Tunja  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>47</volume>
<numero>3</numero>
<fpage>1</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-24482022000300100&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-24482022000300100&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-24482022000300100&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Kounis syndrome (KS) is myocardial ischemia secondary to the release of inflam matory mediators (mastocyte degranulation) during an allergic reaction. Adult anaphylaxis is often triggered by medications, of which antibiotics are the most frequently reported.  Objective: to study the presentation of and clinical approach to a patient with Kounis syndrome and increase the diagnostic suspicion of a disease which does not have a standardized treatment and is not supported by clinical practice guidelines.  Case presentation: we present the case of a 62-year-old adult patient with chest pain and anginal equivalents following perioperative anaphylactic shock during a scheduled open cholecystectomy for gallstones, with subsequent acute myocardial infarction without ST elevation, and coronary artery lesions or atheromatous disease ruled out by arteriography.  Conclusions: Kounis syndrome is an underdiagnosed entity with a variable clinical presenta tion and no concrete or standardized treatment. This therefore encourages the development of a greater case history and the structuring of widely disseminated guidelines for its treatment. (Acta Med Colomb 2022; 47. DOI:https://doi.org/10.36104/amc.2022.2289).]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: el síndrome de Kounis (SDK) corresponde a una isquemia miocárdica secundaria a la liberación de mediadores inflamatorios (degranulación de mastocitos) durante una reacción alérgica. La anafilaxia en adultos comúnmente es desencadenada por medicamentos, de los cuales los antibióticos son los más frecuentemente informados.  Objetivo: estudiar la forma de presentación y abordaje clínico de un paciente con síndrome de Kounis y aumentar la sospecha diagnóstica de una patología que no tiene un tratamiento estanda rizado o respaldado por guías de práctica clínica.  Presentación de caso: se presenta el caso de una paciente adulta de 62 años con dolor pre cordial y equivalentes anginosos posterior a un choque anafiláctico perioperatorio durante una colecistectomía abierta realizada de forma programada por colelitiasis, con posterior infarto agudo de miocardio sin elevación del ST, con arteriografía que descartó lesiones en arterias coronarias o enfermedad ateromatosa.  Conclusiones: el síndrome de Kounis es una entidad subdiagnosticada, con presentación clínica variable y sin un tratamiento concreto o estandarizado, lo que motiva a realizar una mayor casuística y estructurar recomendaciones de amplia difusión respecto a su tratamiento. (Acta Med Colomb 2022; 47. DOI:https://doi.org/10.36104/amc.2022.2289).]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Kounis syndrome]]></kwd>
<kwd lng="en"><![CDATA[anaphylaxis]]></kwd>
<kwd lng="en"><![CDATA[histamine]]></kwd>
<kwd lng="es"><![CDATA[síndrome de Kounis]]></kwd>
<kwd lng="es"><![CDATA[anafilaxia]]></kwd>
<kwd lng="es"><![CDATA[histamina]]></kwd>
</kwd-group>
</article-meta>
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