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

Abstract

Abstract A 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.

Keywords

• acute coronary syndrome
• acute myocardial infarction
• DRESS syndrome
• drug‐eluting stent
• Kounis syndrome
• Lyell's syndrome