Medical information طبی معلومات

08/09/2025

05/09/2025

پـکتیا حوزوی روغتون کې د یوې مور څلور ماشومان پیدا شوی دی، چې یو یې نارینه او درې یې انجونې دی.
د دریو ماشومانو وضعیت یې فعلا د ډاډ وړ او د حوزوی روغتون د اطفالو په نوزاد خونه کې څلور واړه بستر دی.

29/08/2025

🟥 Can a Patient Develop MI After IV Ceftriaxone? Yes – It’s Called Kounis Syndrome!

Let us take you back to a rare but real case that was published in 2014 👇

A 65-year-old man was admitted with typical symptoms of a urinary tract infection (UTI). He had stable vitals, a normal ECG, and no chest pain or cardiac history.

Shortly after receiving 1g of IV ceftriaxone, he suddenly developed:

➡️ Epigastric pain
➡️ Shortness of breath
➡️ Then, sudden cardiac arrest! 🚨

🩺 Immediate CPR and intubation were performed.
His ECG? ➡️ ST-segment elevation in inferior leads + 2:1 AV block.

🔍 Coronary angiography revealed tight multiple stenoses in the right coronary artery (RCA) — which were reversed with intracoronary nitroglycerin.

🔄 Post-treatment ECG and echo? Back to normal.
🟢 Discharged in 4 days, safe and sound.

🧠 Diagnosis: Kounis Syndrome
(aka Allergic Angina or Allergic MI)

A rare hypersensitivity reaction where an allergic or anaphylactic event triggers an acute coronary syndrome (ACS).

🧬 There are 3 types:

1️⃣ Type I: Coronary spasm with normal coronary arteries
2️⃣ Type II: Coronary spasm or thrombosis in pre-existing atherosclerosis
3️⃣ Type III: Stent thrombosis due to allergic reaction to the stent/drug

In this case, ceftriaxone was the trigger, leading to massive release of histamine, leukotrienes, and inflammatory cytokines.

⚠️ It’s not just ceftriaxone — >30 published cases linked Kounis Syndrome to other antibiotics like:

Amoxicillin

Piperacillin/tazobactam

And others!

💡 Always be vigilant. Even common medications can cause life-threatening reactions.

📢 Share this post — it might save a life.

29/08/2025

27/08/2025

me......?

26/08/2025

د نوي زیږیدلي ماشوم ژیړئ د تعویذګر پر ځای د ماشومانو په ډاکټر تداوي کړۍ.
#مشوره

26/08/2025

https://nexa.gov.af/fa/resource_details/details/4

26/08/2025

A child is prescribed Azithromycin 10 mg/kg once daily for Acute Otitis Media.
The child weighs 25 kg. Suspension available = 200 mg/5 mL.
How many mL should be given per dose.? 🤔

A) 5 mL
B) 7.5 mL
C) 10 mL
D) 12.5 mL

24/08/2025

vital sign in peds

23/08/2025

sign of mineral Defieciency