Kounis syndrome: simultaneous occurrence of an allergic reaction and myocardial ischemia in a 46 year old patient after administration of contrast agent.

Kounis syndrome reffers to simultaneous occurence of the entities allergic angina and allergic myocardial infarction. We report the first case, to the best of our knowledge, in which the allergen was gadoterate meglumin, a contrast agent commonly used in magnetic resonance imaging.