Eosinophilic myocarditis: an often subtle and potentially under-recognised phenomenon.
| Autor: | Coughlan JJ; Department of Cardiology, University Hospital Limerick, Limerick, Ireland., Fitzgerald GP; Department of Cardiology, Mercy University Hospital, Cork, Munster, Ireland., Gul F; Dept of Medicine, University Hospital Kerry, Tralee, Ireland., Liston R; Department of Medicine, University Hospital Kerry, Tralee, Ireland. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2017 Sep 27; Vol. 2017. Date of Electronic Publication: 2017 Sep 27. |
| DOI: | 10.1136/bcr-2017-221289 |
| Abstrakt: | A 34-year-old woman presented to our service with chest pain, a troponin rise and dynamic ECG changes. Of note, she had complained of fatigue, feeling constitutionally unwell and a generalised rash in the days prior to her presentation. Her echocardiogram showed normal wall motion and preserved ejection fraction. Her eosinophil count, normal at presentation, rose to a peak of 12.21×10 5 /L. She was haemodynamically stable throughout with no evidence clinically of congestive cardiac failure. CT coronary angiogram showed no obstructive coronary artery disease. Cardiac MRI demonstrated areas of late gadolinium enhancement consistent with myocarditis. A diagnosis of eosinophilic myocarditis was made. No tissue biopsy was performed due to the patchy myocardial involvement and high potential for low-yield biopsy. Our patient was treated conservatively and has made an excellent recovery. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.) |
| Databáze: | MEDLINE |
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