The case deals with an anaphylactoid reaction to intravenous ampicillin/sulbactam resulting in cardiogenic syncope and myocardial damage. Symptoms and ECG modifications promptly disappeared after corticosteroids administration. The Kounis syndrome is an acute coronary syndrome. including coronary spasm. https://www.roneverhart.com/Sheepshead-Bay-Boats-2-Brooklyn-NY/