“…Immediately, he developed sweats, dizziness, headaches, bosom frowsty, shortness of breath, urinary incontinence, hypotension, hypoxygenation, tachycardia, confusion, ST-segment depression in II-III leads, and ST-segment elevation in aVR, eosinophilia, increased cardiac enzymes, but with normal coronary arteries on angiography, compatible with Kounis type I variant progressing to acute myocardial infarction. [ 2 , 3 ] In this patient; however, specific immunoglobulin tests were positive for tree combination (willow/poplar/elm). The patient had complete recovery with anti-allergic medications and fluid replacement.…”