Kounis syndrome in a patient with multivessel coronary artery disease and DRESS

This report highlights the complex pathophysiology of ST-elevation myocardial infarction, especially when non-atherosclerotic causes overlap with established atherosclerosis, and the elusive link between the site of coronary occlusion and the corresponding ST-segment changes. AbstractA 68-year-old man was admitted with ST-elevation myocardial infarction and intense rash. He was diagnosed with type 2 Kounis syndrome elicited by drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome and received complete revascularization with percutaneous coronary intervention. This case highlights the complex pathophysiology of acute coronary syndrome, and the elusive link between coronary occlusion and ST-segment deviations at ECG.
Source: Clinical Case Reports - Category: General Medicine Authors: Tags: CASE REPORT Source Type: research