Dear Doctor, thank you in advance. 40 YO WF, 4'11", 115. FH of HTN & strokes. Personal HTN for 20 years on/off meds. Low HDL of 26 (TC 130, trigly 175 mg/dl, LDL 69, VLDL 35, C/HDL 5), sedentary lifestyle. I took one cephalexin for a bad tooth that needs to be pulled. Within 30 min my palms and soles began to itch. Allergy to most antibiotics. Bright red rash all over, rush/flush through my body, syncope times 4, total incontinence, nausea, sweats and then cold. Family doc could not get me in next day so went to ER. My enzymes: CPK 529 U/L on arrival/peak 601/301 @ 24 hr. CK-MB 75.2 ng/mL on first draw/peak 85.2/30.6 @ 24 hr. CMB% 14.2 on arr/peak/10.2 @ 24 hr. D-Dimer 2985. TPN I on arr 10.84 ng/mL/to 24.31/down @ 11.45 @ 24 hr. EKG arrival showed early transition, QRS positive in V2, diffuse T-wave ab, Q waves inf leads 8 h later anterolateral T-wave ab, > - 0.30 mV in I, aVL, V2-V6 and @ 24 hr early transition, QRS positive in V2, diffuse NS T-wave ab/T-waves - 0.10 mV ANT, LAT and INF with inferior Q-waves 2, 3, F, add to 80 mS. Echos x 2 norm, EF 60. INR 1.1, PTT 36.2, protime 13.6 in ER. Homocysteine 10.3 @ 24 hr. Cath only 40% RCA stenosis with acute plaque rupture. Told no correlation between antibiotic & MI. Also, with immuno response in WBC 14.3, granulocytes 84.1, monocytes 2.8. These back to normal @ 24 hr. I realize I still had a heart attack regardless and I am pursing all that entails, taking meds, changing lifestyle & eating habits and starting cardiac rehab. Please see my comment post following for my questions, sorry just couldn't get it all in!