Kounis syndrome induced by cefditoren pivoxil

Article history: Received 8 December 2015 Received in revised form 3 January 2016 Accepted 4 January 2016 Available online 11 January 2016 mal b5) and the peak level of troponin I reached 1.32 ng/mL (normal b0.06). Serum tryptase was 4.5 μg/L (normal b11.4). This tryptase value was the only one determined and it was obtained 8 h after the episode had begun. All in vitro tests were measured by the ThermoFisher Laboratories (ThermoFisher, Massachusetts, USA). Echocardiography revealed a normal mechanical prosthesis and normal left ventricular systolic function. Chest X-ray revealed a left lobar pneumonia without