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Hypereosinophilic Syndrome Complicated by Eosinophilic Myocarditis With Dramatic Response to Steroid. | LitMetric

AI Article Synopsis

  • * A young male patient with a history of recent lung treatment presented with heart failure, showing a significantly low ejection fraction of 12%, but improved to 35% after receiving intravenous steroids.
  • * Early diagnosis is critical due to nonspecific symptoms; prompt treatment with steroids can result in significant recovery in heart function.

Article Abstract

Eosinophilic myocarditis is an infiltrative disease that affects the myocardium leading to various presentations. It can be precipitated by medications, helminthiasis, or hypereosinophilic syndrome. We present the case of a young, male patient who presented with palpitations and dyspnea and was found to have heart failure with reduced ejection fracture of 12%. His past medical history was significant for recent lung problem treated with steroids. Based on his history and laboratory findings, he was started on intravenous steroids for treatment of eosinophilic myocarditis. Within 3 days, his ejection fracture improved to 35%. Given the nonspecific clinical presentations, mimicking other diseases, high index of suspicion is warranted to diagnose eosinophilic myocarditis. This is crucial as early detection and treatment with steroids can lead to a dramatic response.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5862364PMC
http://dx.doi.org/10.1177/2324709618764512DOI Listing

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