Acute myocarditis as a manifestation of eosinophilic granulomatosis
DOI:
https://doi.org/10.32818/reccmi.a7n1a3Keywords:
Churg-Strauss syndrome, eosinophilic myocarditis, left ventricular dysfunction, mepolizumabAbstract
We present the case of a young male traveller in Southeast Asia who consulted for chest pain, and was initially managed as an acute coronary syndrome. Once coronary artery disease was ruled out and hypereosinophilia was observed, we carried out a broad differential diagnosis of its possible causes. Complementary tests confirmed eosinophilic myocarditis with ventricular dysfunction. Further clinical history and tests led to a diagnosis of eosinophilic granulomatosis with polyangiitis. Following the introduction of drugs for heart failure, as well as corticosteroids and mepolizumab, the patient improved clinically, and the ejection fraction was completely recovered.
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Copyright (c) 2022 Miguel Calderón-Flores, Laura Morán-Fernández, José Antonio García-Robles, Ana Belén Enguita-Valls, Juan Francisco Delgado-Jiménez
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