Eosinophilic myocarditis (EM) is a cardiac manifestation of hypereosinophilic syndrome with a high mortality rate. EM shares imaging features similar to other restrictive cardiopathies, and include patchy intramural late gadolinium enhancement on cardiac magnetic resonance with or without presence of biventricular thrombus. Diagnosis is confirmed on histopathology, and is the current gold standard. Here we report clinical presentation and imaging findings of EM in a 70-year-old woman who presented with fever and chills.
Keywords: Apical thrombus; BNP, B-type natriuretic peptide; CK, creatine kinase; CMR, cardiac magnetic resonance; CRP, C-reactive protein; CT, computed tomography; Cardiac magnetic resonance; DCM, dilated cardiomyopathy; EF, ejection fraction; EM, ECG, eosinophilic myocarditis; ESR, erythrocyte sedimentation rate; Echocardiography; Eosinophilic myocarditis; HCM, hypertrophic cardiomyopathy; HES, hypereosinophilic syndrome; Hypereosinophilic syndrome; IgE, immunoglobulin E; LGE, late gadolinium enhancement; LV, left ventricle; RCM, restrictive cardiomyopathy; RV, right ventricle; Subendocardial late gadolinium enhancement; TTE, transthoracic echocardiogram.
© 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington.