Elusive Diagnosis of Eosinophilic Myocarditis: A Case Series
| Autor: | Tito Zerpa, C. Eiswirth, Adrian daSilva-deAbreu, Hussain Almusawi, Stacy Mandras |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Peripartum cardiomyopathy medicine.medical_treatment Shock Cardiogenic 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Pregnancy Biopsy medicine Eosinophilia Humans 030212 general & internal medicine Heart transplantation Heart Failure medicine.diagnostic_test business.industry Cardiogenic shock General Medicine medicine.disease Myocarditis Ventricular assist device Heart failure Circulatory system Female Radiology Heart-Assist Devices medicine.symptom Cardiology and Cardiovascular Medicine business Cardiomyopathies |
| Zdroj: | Current problems in cardiology. 46(10) |
| ISSN: | 1535-6280 |
| Popis: | We present 2 relevant cases of eosinophilic myocarditis (EM) in patients that presented with cardiogenic shock, one of whom received a durable ventricular assist device followed by heart transplantation, with the diagnosis of EM being made based on analysis of the excisional biopsy obtained during implantation of the ventricular assist device. The second patient was initially misdiagnosed with peripartum cardiomyopathy and underwent abortion, to later being diagnosed with EM through endomyocardial biopsy. These two cases highlight the importance of high clinical suspicion for EM based on eosinophilia, comorbidities, and presentation, as well as the value of early diagnosis and therapeutic interventions, including corticosteroids, and advanced heart failure therapies, such as mechanical circulatory support and heart transplantation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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