The concurrence of acute coronary syndromes with allergic or hypersensitivity as well as with anaphylactic or anaphylactoid reactions is increasingly encountered in clinical practice and there are several reports associating mast cell activation with acute cardiovascular events in adults. It was first described by Kounis as "allergic angina syndrome" progressing to "allergic myocardial infarction". The main mechanism proposed is the vasospasm of coronary arteries. This condition has not been described in childhood. We present a 13-year-old boy, admitted to our hospital with thoracic pain, 30 min after the ingestion of an oral dose of 500 mg of amoxicillin/clavulanic acid. (C) 2008 Elsevier Ireland Ltd. All rights reserved.
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Sidi Mohamed Ben Abdellah Univ, Hassan Univ Hosp 2, Dept Anesthesiol & Intens Care, Intens Care Unit A1, Fes, MoroccoSidi Mohamed Ben Abdellah Univ, Hassan Univ Hosp 2, Dept Anesthesiol & Intens Care, Intens Care Unit A1, Fes, Morocco
Shimi, A.
Touzani, S.
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Sidi Mohamed Ben Abdellah Univ, Hassan Univ Hosp 2, Dept Anesthesiol & Intens Care, Intens Care Unit A1, Fes, MoroccoSidi Mohamed Ben Abdellah Univ, Hassan Univ Hosp 2, Dept Anesthesiol & Intens Care, Intens Care Unit A1, Fes, Morocco
Touzani, S.
Derkaoui, A.
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Sidi Mohamed Ben Abdellah Univ, Hassan Univ Hosp 2, Dept Anesthesiol & Intens Care, Intens Care Unit A1, Fes, MoroccoSidi Mohamed Ben Abdellah Univ, Hassan Univ Hosp 2, Dept Anesthesiol & Intens Care, Intens Care Unit A1, Fes, Morocco
Derkaoui, A.
Khatouf, M.
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Sidi Mohamed Ben Abdellah Univ, Hassan Univ Hosp 2, Dept Anesthesiol & Intens Care, Intens Care Unit A1, Fes, MoroccoSidi Mohamed Ben Abdellah Univ, Hassan Univ Hosp 2, Dept Anesthesiol & Intens Care, Intens Care Unit A1, Fes, Morocco
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Department of Medicine, Consultant Physician and Senior Lect., University of Peradeniya, PeradeniyaDepartment of Medicine, Consultant Physician and Senior Lect., University of Peradeniya, Peradeniya
Ralapanawa D.M.P.U.K.
Kularatne S.A.M.
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Department of Medicine, Senior Consultant Physician, University of Peradeniya, PeradeniyaDepartment of Medicine, Consultant Physician and Senior Lect., University of Peradeniya, Peradeniya