Acute ST-segment elevation myocardial infarction after amoxycillin-induced anaphylactic shock in a young adult with normal coronary arteries: a case report

BACKGROUND: Acute myocardial infarction (MI) following anaphylaxis is rare, especially in subjects with normal coronary arteries. The exact pathogenetic mechanism of MI in anaphylaxis remains unclear. CASE PRESENTATION: The case of a 32-year-old asthmatic male with systemic anaphylaxis, due to oral intake of 500 mg amoxycillin, complicated by acute ST-elevation MI is the subject of this report. Following admission to the local Health Center and almost simultaneously with the second dose of subcutaneous epinephrine (0.2 mg), the patient developed acute myocardial injury. Coronary arteriography, performed before discharge, showed no evidence of obstructive coronary artery disease. In vivo allergological evaluation disclosed strong sensitivity to amoxycillin and the minor (allergenic) determinants of penicillin. CONCLUSION: Acute ST-elevation MI is a rare but potential complication of anaphylactic reactions, even in young adults with normal coronary arteries. Coronary artery spasm appears to be the main causative mechanism of MI in the setting of "cardiac anaphylaxis". However, on top of the vasoactive reaction, a thrombotic occlusion, induced by mast cell-derived mediators and facilitated by prolonged hypotension, cannot be excluded as a possible contributory factor

Donald Trump and the Eastern Way of History: US Foreign Policy toward China

La emergencia de nuevos polos de poder mundial implica la resistencia natural de EE.UU. al ver sus intereses amenazados por modificaciones en el statu quo internacional. En un contexto donde China se predispone a desempeñar un rol más activo dentro del sistema internacional, Donald Trump llegó a la presidencia con lemas como “MAKE AMERICA GREAT AGAIN” (que América vuelva a ser grande) y “AMERICA FIRST” (América primero) que, en parte, incluyen redefinir la relación bilateral con determinados actores internacionales, entre los cuales está el gigante asiático.The emergence of new poles of global power involves the natural resistance of the US that see their interests threatened by changes in the international status quo. In a context where China is predisposed to play an active role, Donald Trump came to the presidency with slogans like "MAKE AMERICA GREAT AGAIN" and "AMERICA FIRST" that, in part, include a redefinition of the bilateral relationship with certain international actors. The “Asian Giant” is among them.Universidad Católica de Santa F

Eternal Suspicion: Russia and the US security issues in times of Trump

Con la propuesta de mejorar las relaciones bilaterales con Rusia, Donald John Trump comenzó sus funciones ejecutivas el 20 de enero de 2017. Contando con la simpatía expresada públicamente por el presidente ruso, Vladimir Putin, parecía abrirse un camino de entendimiento entre ambos estados. Sin embargo, la historia reciente de los vínculos ruso-americanos, se encuentra signada por contraposiciones que aún no han sido superadas. Intereses divergentes, tramas de espionaje y fantasmas de la Guerra Fría afectan la agenda de seguridad, contribuyendo en la Eterna Suspicacia que llega hasta la actualidad.With the proposal to improve the bilateral relations with Russia, Donald John Trump began with their executive functions on 20th January 2017. Simultaneously, the sympathy expressed by the Russian president, Vladimir Putin, seemed to open up a way of understanding between the two states. However, the recent history of the Russian-American links is full of contrasts that have not been overcome. Conflicting interests, espionage cases, and ghosts of the Cold War affect security issues and take part in the eternal suspicion that reaches the present days.Universidad Católica de Santa F

Utilisation des D-Dimères en médecine générale devant une suspicion de thrombose veineuse profonde. Pertinence et coût économique à propos d'une étude rétrospective sur 102 patients

REIMS-BU Santé (514542104) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

La mort subite cardiaque dans l'Aube : état des lieux, intérêt du défibrillateur semi-automatique

REIMS-BU Santé (514542104) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

PRISE EN CHARGE DE L'INFARCTUS DU MYOCARDE AU CENTRE HOSPITALIER DE TROYES (AUBE) (A PROPOS DE 125 CAS)

REIMS-BU Santé (514542104) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Evaluation de la mise en place du défibrillateur semi-automatique dans l'Aube à propos d'une étude prospective sur un an (mars 2002-février2003) selon le modèle d'Utstein

REIMS-BU Santé (514542104) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Prise en charge d'une suspicion de thrombose veineuse profonde aux urgences : évaluation rétrospective sur 69 cas au Centre Hospitalier de Troyes et propositions pour son optimisation

REIMS-BU Santé (514542104) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Etude de l'environnement humain et aérien de patients présentant une pneumocystose

PARIS-BIUP (751062107) / SudocSudocFranceF

Sur les pas de saint Fiacre : en pays drouais et en Eure-et-Loir

Contient une table des matièresAvec mode text