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The occurrence of ECG alterations, laboratory abnormalities and procalcitonin (PCT) elevation will be discussed with particular emphasis on the possible misleading role of PCT during anaphylactic shock.<\/jats:p>","DOI":"10.1136\/bcr-2019-233521","type":"journal-article","created":{"date-parts":[[2020,1,22]],"date-time":"2020-01-22T05:17:02Z","timestamp":1579670222000},"page":"e233521","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Electrocardiographic alterations and raised procalcitonin levels during anaphylactic shock"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3932-3803","authenticated-orcid":false,"given":"Antonio","family":"Mirijello","sequence":"first","affiliation":[{"name":"Department of Medical Sciences, IRCCS Ospedale Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Maddalena","family":"D'Errico","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, IRCCS Ospedale Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pamela","family":"Piscitelli","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, IRCCS Ospedale Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvatore","family":"De Cosmo","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences, IRCCS Ospedale Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,1,21]]},"reference":[{"key":"2025082708255170000_13.1.e233521.1","doi-asserted-by":"crossref","first-page":"e73","DOI":"10.1016\/j.jemermed.2016.06.011","article-title":"A male patient with syncope, anaphylaxis, and ST-elevation: hepatic and cardiac echinococcosis presenting with Kounis syndrome","volume":"51","author":"Mirijello","year":"2016","journal-title":"J Emerg Med"},{"key":"2025082708255170000_13.1.e233521.2","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/j.ijcard.2012.12.075","article-title":"Adrenaline administration for anaphylaxis and the risk of takotsubo and Kounis syndrome","volume":"166","author":"Soufras","year":"2013","journal-title":"Int J Cardiol"},{"key":"2025082708255170000_13.1.e233521.3","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1001\/jamainternmed.2019.1230","article-title":"Electrocardiographic changes after overdose of epinephrine in a patient with anaphylaxis: Kounis syndrome or epinephrine?","volume":"179","author":"Jiang","year":"2019","journal-title":"JAMA Intern Med"},{"key":"2025082708255170000_13.1.e233521.4","doi-asserted-by":"crossref","unstructured":"Tosoni A , Paratore M , Piscitelli P , et al . The use of procalcitonin for the management of sepsis in internal medicine wards: current evidences. Panminerva Med 2019. doi:doi:10.23736\/S0031-0808.19.03809-6. 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