Kounis syndrome: myocardial infarction secondary to an allergic insult – a rare clinical entity

Abstract

The association of an acute coronary syndrome with mast cell activation secondary to allergen exposure is known as the Kounis syndrome. We present two cases of the Kounis syndrome: (i) one was misdiagnosed as acute ST elevation myocardial infarction and treated with thrombolytics; (ii) the second diagnosis was made after a recurrence two months after the fi rst incident.

Key Words:

• Acute coronary syndrome
• Kounis syndrome
• myocardial infarction