Biphasic anaphylaxis manifested as type I Kounis syndrome induced by ingestion of raw fish gallbladder: A case report

Long Lin, Benjamin J. Sandefur, Ronna L. Campbell, Zhi Liu, Xiao-wei Liu

Figure 1. Results of twelve-lead electrocardiogram (ECG). A: upon arrival to the emergency department, ECG showed sinus rhythm with 1-mm down-sloping ST-segment depression and low, flat, diphasic, or inverted T waves in leads I and aVL; B: repeat ECG demonstrated changes in the ST-segment and T waves at six hours after ED arrival.