Journal of Contemporary Brachytherapy
eISSN: 2081-2841
ISSN: 1689-832X
Journal of Contemporary Brachytherapy
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2/2025
vol. 17
 
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abstract:
Case report

A case of acute myocardial infarction due to Kounis syndrome after brachytherapy for prostate cancer

Shoji Mori
1
,
Takashi Fukagai
1
,
Kazuhiko Oshinomi
1
,
Masakazu Nagata
1
,
Masashi Morita
1
,
Masako Kato
2
,
Madoka Morota
2
,
Yoshinori Ito
2
,
Takahiro Furuya
3

  1. Department of Urology, Showa Medical University, Tokyo, Japan
  2. Division of Radiation Oncology, Department of Radiology, Showa Medical University, Tokyo, Japan
  3. Division of Cardiology, Cardiovascular Center, Showa Medical University Koto Toyosu Hospital, Tokyo, Japan
J Contemp Brachytherapy 2025; 17, 2: 149–152
DOI: https://doi.org/10.5114/jcb.2025.151224
Online publish date: 2025/05/09
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Major systemic complications during and immediately after brachytherapy are rare. Herein, we described a case of acute myocardial infarction due to Kounis syndrome after low-dose-rate brachytherapy in a 70-year-old man with a banana allergy. Following low-dose-rate brachytherapy under general anesthesia, the patient complained of itching throughout his body; electrocardiography showed ventricular fibrillation. Cardiac catheterization revealed 99% stenosis in the left anterior descending artery; consequently, percutaneous coronary intervention was performed promptly. In this case, Kounis syndrome was considered, which was caused by latex allergy to condoms used during trans-rectal ultrasound examinations.
keywords:

prostate cancer, brachytherapy, Kounis syndrome, myocardial infarction

  
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