Key result
A 70-year-old man with a banana allergy developed acute myocardial infarction due to Kounis syndrome triggered by latex exposure during trans-rectal ultrasound for prostate brachytherapy.
Case Report (n=1)
No
Highlights the rare but severe risk of Kounis syndrome (allergic acute myocardial infarction) triggered by latex exposure during medical procedures in patients with cross-reactive food allergies.
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.
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Mori et al. (2025) conducted a case report in Prostate cancer (n=1). Latex condom exposure during trans-rectal ultrasound was evaluated on Development of acute myocardial infarction (Kounis syndrome). A 70-year-old man with a banana allergy developed acute myocardial infarction due to Kounis syndrome triggered by latex exposure during trans-rectal ultrasound for prostate brachytherapy.
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