<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902025000301702</article-id>
<article-id pub-id-type="doi">10.29193/rmu.41.3.11</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de Kounis a propósito de un caso clínic]]></article-title>
<article-title xml:lang="en"><![CDATA[Kounis syndrome relating to a clinical case]]></article-title>
<article-title xml:lang="pt"><![CDATA[Síndrome de Kounis relacionada a um caso clínico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castrillón-Martínez]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="A">
<institution><![CDATA[,Hospital Banco de Seguros del Estado  ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>41</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902025000301702&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902025000301702&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902025000301702&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El síndrome de Kounis es una entidad infradiagnosticada, con pocos casos publicados en Uruguay. El diagnóstico es clínico, con síntomas y signos sugestivos de una reacción alérgica aguda asociados a un evento coronario agudo, debiendo tener una relación causa-efecto temporal. El electrocardiograma apoya el diagnóstico, como también los marcadores, daño miocárdico y los parámetros que evidencian una reacción alérgica. El tratamiento es controversial basándose en 2 pilares: por un lado, tratamiento de la reacción alérgica y, por el otro, del evento coronario. Presentamos el caso clínico de un síndrome de Kounis tipo I secundario a picaduras de abejas que evolucionó favorablemente con tratamiento antialérgico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary Kounis syndrome is an underdiagnosed entity with few cases published in our country. The diagnosis is clinical, with symptoms and signs suggestive of an acute allergic reaction and an acute coronary event, and must have a temporal cause-effect relationship. The diagnosis is supported by the electrocardiogram, myocardial damage markers and parameters that show an allergic reaction. The treatment is controversial based on 2 pillars: treatment of the allergic reaction and the coronary event. We present the clinical case of Kounis syndrome type I secondary to bee stings that presented a good evolution with antiallergic treatment.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A síndrome de Kounis é uma entidade subdiagnosticada com poucos casos publicados em nosso país. O diagnóstico é clínico, com sintomas e sinais sugestivos de reação alérgica aguda e evento coronariano agudo, devendo ter relação causa-efeito temporal. O diagnóstico é apoiado pelo eletrocardiograma, marcadores de dano miocárdico e parâmetros que mostram reação alérgica. O tratamento é controverso baseado em 2 pilares: tratamento da reação alérgica e do evento coronariano. Apresentamos o caso clínico de síndrome de Kounis tipo I secundária a picada de abelha que apresentou boa evolução com tratamento antialérgico.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome kounis]]></kwd>
<kwd lng="es"><![CDATA[Reacción alérgica]]></kwd>
<kwd lng="es"><![CDATA[Evento coronario]]></kwd>
<kwd lng="en"><![CDATA[Kounis syndrome]]></kwd>
<kwd lng="en"><![CDATA[Allergic reaction]]></kwd>
<kwd lng="en"><![CDATA[Coronary event]]></kwd>
<kwd lng="pt"><![CDATA[Síndrome de Kounis]]></kwd>
<kwd lng="pt"><![CDATA[Reação alérgica]]></kwd>
<kwd lng="pt"><![CDATA[Evento coronariano]]></kwd>
</kwd-group>
</article-meta>
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