Adrenaline, aspirin and corticosteroids should be administered mindfully while treating myocardial infarction and Kounis syndrome

Abstract

^{In the important case report by Sirsha Chatterjee et al [1], a 44-year-old Indian woman developed dizziness, widespread weakness, profuse perspiration, pressure in her chest, epigastric pain, and widespread, itchy rashes on her face one hour after ingesting oral amoxicillin clavulanate. The provisional diagnosis was Kounis syndrome. The patient began receiving, among others, medications including adrenaline nebulization, intravenous hydrocortisone and oral aspirin. The High sensitive troponin was raised but coronary angiography was not performed because the patient refused further cardiac workup. This report raises serious issues with the usage of adrenaline, aspirin, and hydrocortisonehe. These medications, which are used to treat Kounis syndrome, myocardial infarction, or thrombosis [2], paradoxically have the potential to trigger these diseases}