Evidence map›Paper›PMID 41913838›Full record

ArticleCureus2026

Acetaminophen-Induced Type II Kounis Syndrome: A Case Report Highlighting Diagnostic Challenges and the Utility of a Physician-Staffed Rapid Response Car.

Satoshi Hashiguchi

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Satoshi HashiguchiEmergency Medicine, Tokushima Red Cross Hospital, Tokushima, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Kounis syndrome (KS) is a clinical condition where anaphylaxis induces acute coronary syndrome. This report describes a case of Type II KS in an 85-year-old male, triggered by intravenous acetaminophen, resulting in total occlusion of the right coronary artery. The intervention of a physician-staffed rapid response car (RRC) facilitated early pre-hospital diagnosis of ST-segment elevation myocardial infarction (STEMI). This enabled an integrated transition to emergency percutaneous coronary intervention (PCI). The case demonstrates the utility of advanced pre-hospital systems in managing the therapeutic conflicts associated with KS.

Indexed as

acetaminophenanaphylaxisintensive care unit staykounis syndromemedical intensive care unit (micu)rapid response car

Identifiers

PMID41913838
PMCPMC13033107

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.