[Hypoxic hepatitis in a patient with endomyocardial fibrosis].

Autor: Durlach M; área de Clínica Médica, Instituto de Investigaciones Médicas Alfredo Lanari, Universidad de Buenos Aires, Argentina. E-mail: mdurlach07@gmail.com., Echavarría G; área de Clínica Médica, Instituto de Investigaciones Médicas Alfredo Lanari, Universidad de Buenos Aires, Argentina., Antonucci R; Servicio de Cardiología, Instituto de Investigaciones Médicas Alfredo Lanari, Universidad de Buenos Aires, Argentina., Arias T; área de Clínica Médica, Instituto de Investigaciones Médicas Alfredo Lanari, Universidad de Buenos Aires, Argentina., Pensa L; área de Clínica Médica, Instituto de Investigaciones Médicas Alfredo Lanari, Universidad de Buenos Aires, Argentina., Fadel D; Servicio de Salud Mental, Instituto de Investigaciones Médicas Alfredo Lanari, Universidad de Buenos Aires, Argentina.
Jazyk: Spanish; Castilian
Zdroj: Medicina [Medicina (B Aires)] 2019; Vol. 79 (4), pp. 284-286.
Abstrakt: Endomyocardial fibrosis is a restrictive cardiomyopathy with high morbidity and mortality rates, prevalent in the sub-Saharan Africa region but infrequent in our population. It has a close relation with blood hypereosinophilia. Hypoxic hepatitis is frequently observed in intensive care units and its diagnosis is clinical. It shows a typical enzyme pattern with high mortality too. There are multiple mechanisms responsible for this condition, such as ischemia, passive congestion and dysoxia. We described the case of a 35 year-old cocaine addict woman diagnosed with endomyocardial fibrosis and hypereosinophilic syndrome who developed cardiogenic shock with hypoxic hepatitis. The patient evolved favorably with the appropriate treatment.
Databáze: MEDLINE