{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T21:22:46Z","timestamp":1773523366125,"version":"3.50.1"},"reference-count":9,"publisher":"Scientific Scholar","content-domain":{"domain":["nmji.in"],"crossmark-restriction":true},"short-container-title":["NMJI"],"abstract":"<jats:p>Kounis syndrome (KS), also known as allergic angina, is a type-1 hypersensitivity reaction affecting the coronary vessels, leading to vasospasm. It manifests like an acute coronary syndrome on the electrocardiogram and is often underdiagnosed. Foods (such as peanuts and fish) and medications (mostly antibiotics and analgesics) are the common triggers. We report a 30-year-old patient who developed KS following a multivitamin injection.<\/jats:p>","DOI":"10.25259\/nmji_517_2024","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T06:16:41Z","timestamp":1770099401000},"page":"94-95","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Allergic angina (Kounis syndrome) following a multivitamin injection"],"prefix":"10.25259","volume":"39","author":[{"given":"SUDHINDER","family":"MURALI","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SAVITHA","family":"MANAVALAN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SUDHA","family":"VIDYASAGAR","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BAKUL","family":"RAJ","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2026,2,2]]},"reference":[{"key":"10.25259\/NMJI_517_2024\/ref-1","doi-asserted-by":"publisher","first-page":"699","DOI":"10.1016\/j.jaip.2023.10.037","article-title":"Vitamin B12 hypersensitivity: A retrospective multicenter study","volume":"12","author":"El Rhermoul","year":"2024","journal-title":"J Allergy Clin Immunol Pract"},{"key":"10.25259\/NMJI_517_2024\/ref-2","doi-asserted-by":"publisher","first-page":"e254799","DOI":"10.1136\/bcr-2023-254799","article-title":"Unexpected cause of Kounis syndrome: Hypersensitivity reaction to omeprazole","volume":"16","author":"Erdem","year":"2023","journal-title":"BMJ Case Rep"},{"key":"10.25259\/NMJI_517_2024\/ref-3","doi-asserted-by":"publisher","first-page":"67","DOI":"10.55994\/ejcc.1293720","article-title":"A case report of Kounis syndrome developing anaphylaxis secondary to vitamin B and C infusion","volume":"5","author":"Tanriogen","year":"2023","journal-title":"Eurasian J Crit Care"},{"key":"10.25259\/NMJI_517_2024\/ref-4","doi-asserted-by":"publisher","first-page":"e2582","DOI":"10.7759\/cureus.2582","article-title":"Anaphylactic reaction to cyanocobalamin: A case report","volume":"10","author":"Wajih Ullah","year":"2018","journal-title":"Cureus"},{"key":"10.25259\/NMJI_517_2024\/ref-5","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1056\/NEJM198201143060215","article-title":"Unsuspected benzyl alcohol hypersensitivity","volume":"306","author":"Grant","year":"1982","journal-title":"N Engl J Med"},{"key":"10.25259\/NMJI_517_2024\/ref-6","doi-asserted-by":"publisher","first-page":"e232472","DOI":"10.1136\/bcr-2019-232472","article-title":"Kounis syndrome uncovers severe coronary disease: An unusual case of acute coronary syndrome secondary to allergic coronary vasospasm","volume":"12","author":"Conti","year":"2019","journal-title":"BMJ Case Rep"},{"key":"10.25259\/NMJI_517_2024\/ref-7","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1111\/j.1365-2222.2004.01882.x","article-title":"Incidence of anaphylaxis with circulatory symptoms: A study over a 3-year period comprising 940,000 inhabitants of the Swiss Canton Bern","volume":"34","author":"Helbling","year":"2004","journal-title":"Clin Exp Allergy"},{"key":"10.25259\/NMJI_517_2024\/ref-8","first-page":"811","article-title":"A prospective study of Kounis syndrome: Clinical experience and cardiac magnetic resonance imaging findings for 21 patients","volume":"9","author":"Akoz","year":"2013","journal-title":"Acta Med Mediterr"},{"key":"10.25259\/NMJI_517_2024\/ref-9","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1186\/s13256-017-1310-7","article-title":"Management of Kounis syndrome: Two case reports","volume":"11","author":"Omri","year":"2017","journal-title":"J Med Case Rep"}],"container-title":["The National Medical Journal of India"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/nmji.in\/allergic-angina-kounis-syndrome-following-a-multivitamin-injection\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/nmji.in\/allergic-angina-kounis-syndrome-following-a-multivitamin-injection\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T12:39:09Z","timestamp":1771677549000},"score":1,"resource":{"primary":{"URL":"https:\/\/nmji.in\/allergic-angina-kounis-syndrome-following-a-multivitamin-injection\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,2]]},"references-count":9,"alternative-id":["10.25259\/NMJI_517_2024"],"URL":"https:\/\/doi.org\/10.25259\/nmji_517_2024","relation":{},"ISSN":["2583-150X","0970-258X"],"issn-type":[{"value":"2583-150X","type":"electronic"},{"value":"0970-258X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2,2]]},"article-number":"94"}}