Abstract
Acute eosinophilic myocarditis is a rare cause of acute heart failure. We present the case of a 32-year-old woman who had presumptive eosinophilic myocarditis as part of a generalized hypersensitivity reaction (Drug Rash with Eosinophilia and Systemic Symptoms [DRESS] syndrome) that exhibited a dramatic response to steroid therapy. We highlight the central role of 2-dimensional and tissue-Doppler echocardiography in the diagnosis of myocarditis and the serial evaluation of left ventricular systolic and diastolic function in this setting.
Keywords:
Cardiomyopathy, infiltrative; Doppler, pulsed; drug complications; echocardiography, two-dimensional, transthoracic; eosinophils; myocarditis.
MeSH terms
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Acute Disease
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Adult
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Diastole
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Drug Hypersensitivity Syndrome / diagnostic imaging*
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Drug Hypersensitivity Syndrome / drug therapy*
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Drug Hypersensitivity Syndrome / physiopathology
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Echocardiography, Doppler*
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Echocardiography, Doppler, Color
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Echocardiography, Doppler, Pulsed
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Eosinophilia / diagnostic imaging*
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Eosinophilia / drug therapy*
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Eosinophilia / physiopathology
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Female
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Heart Failure / diagnostic imaging
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Heart Failure / drug therapy
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Heart Failure / physiopathology
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Humans
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Myocarditis / diagnostic imaging*
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Myocarditis / drug therapy*
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Myocarditis / physiopathology
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Predictive Value of Tests
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Recovery of Function
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Steroids / therapeutic use*
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Stroke Volume
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Systole
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Time Factors
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Treatment Outcome
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Ventricular Function, Left