Kounis Syndrome as First Manifestation of Allergic Sensitization

Table 1

Allergens reported as responsible for Kounis syndrome
Drugs
Antibiotics	Amoxicillin, cephalosporins, ciprofloxacin, clarithromycin, clindamycin, metronidazole, penicillins, telithromycin, vancomycin
Anticancer drugs	Cisplatin, oxaliplatin, cyclophosphamide, 5-fluorouracil, rituximab
Antiviral	Brivudine, oseltamavir
NSAID	Aspirin, diclofenac, ibuprofen, methimazole, propyphenazone
Steroids	Hydrocortisone, methylprednisolone, triamcinolone
Used in anesthesia	Propofol, etomidate, midazolam, rocuronium, atracurium
Others	5-Fluororacil, atropine, clopidogrel, enalapril, astemizole, fluconazole, gelofusin, hyoscine butylbromide, insulin, lanzoprazole, oral contraceptive pills, nafamostat, pseudophed, ranitidine, sodium bicarbonate, tramadol, ziprasidone
Insects	Bee, black widow spider, scorpion, snake, wasp
Foods	Blue crab, crucian, kiwi, mushroom, rice, shell fish, tuna fish, salt fish, uncooked anchovies
Others	Anisakis, dialysate, latex, intravenous contrast media