Eosinophilic myocarditis : an often subtle and potentially under-recognised phenomenon

© 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..

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 12.21×105/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.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:2017

Enthalten in:

BMJ case reports - 2017(2017) vom: 27. Sept.

Sprache:

Englisch

Beteiligte Personen:

Coughlan, John Joseph [VerfasserIn]
Fitzgerald, Gerald Paul [VerfasserIn]
Gul, Filza [VerfasserIn]
Liston, Richard [VerfasserIn]

Links:

Volltext

Themen:

Cardiovascular medicine
Case Reports
Eosinophilia
Haematology (including blood transfusion)
Journal Article
Myocarditis

Anmerkungen:

Date Completed 31.05.2018

Date Revised 25.02.2020

published: Electronic

Citation Status MEDLINE

doi:

10.1136/bcr-2017-221289

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM27624706X