A case report of eosinophilic myocarditis and a review of the relevant literature

详细信息    查看全文

• 作者：Haiying Li (1)
  Zhenyu Dai (1)
  Binqiao Wang (1)
  Weijian Huang (1)
  
  1. Department of Cardiology ; The First Affiliated Hospital of Wenzhou Medical University ; Wenzhou ; 325000 ; China
  
• 关键词：Eosinophils ; Antituberculosis drugs ; Myocarditis ; Corticosteroids
• 刊名：BMC Cardiovascular Disorders
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：15
• 期：1
• 全文大小：1,984 KB
• 参考文献：1. Eosinophil granulocyte. [http://en.wikipedia.org/wiki/eosinophils]
  2. Caforio, AL, Pankuweit, S, Arbustini, E, Basso, C, Gimeno-Blanes, J, Felix, SB (2013) Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J 34: pp. 2636-48 CrossRef
  3. Spry, CJ, Take, M, Tai, PC (1985) Eosinophilic disorders affecting the myocardium and endocardium: a review. Heart Vessels Suppl 1: pp. 240-2 CrossRef
  4. Ginsberg, F, Parrillo, JE (2005) Eosinophilic myocarditis. Heart Failure Clin 1: pp. 419-29 CrossRef
  5. Enriquez, A, Castro, P, Gabrielli, L, Braun, S, Verdejo, H, Cordova, S (2011) Acute necrotizing eosinophilic myocarditis presenting as ST-elevation myocardial infarction: a case report. Can J Cardiol 27: pp. 870 CrossRef
  6. Chusid, MJ, Dale, DC, West, BC, Wolff, SM (1975) The hypereosinophilic syndrome: analysis of fourteen cases with review of the literature. Medicine (Baltimore) 54: pp. 1-27 CrossRef
  7. Corssmit, EP, Trip, MD, Durrer, JD (1999) Loffler's endomyocarditis in the idiopathic hypereosinophilic syndrome. Cardiology 91: pp. 272-6 CrossRef
  8. Klion, AD, Bochner, BS, Gleich, GJ, Nutman, TB, Rothenberg, ME, Simon, HU (2006) Approaches to the treatment of hypereosinophilic syndromes: a workshop summary report. J Allergy Clin Immunol 117: pp. 1292-302 CrossRef
  9. Hara, T, Yamaguchi, K, Iwase, T, Kadota, M, Bando, M, Ogasawara, K (2013) Eosinophilic myocarditis due to Churg-Strauss syndrome with markedly elevated eosinophil cationic protein. Int Heart J 54: pp. 51-3
  10. Arima, M, Kanoh, T (1999) Eosinophilic myocarditis associated with dense deposits of eosinophil cationic protein (ECP) in endomyocardium with high serum ECP. Heart 81: pp. 669-71 CrossRef
  11. Baandrup, U (2012) Eosinophilic myocarditis. Herz 37: pp. 849-52 CrossRef
  12. Adsett, M, West, MJ, Galbraith, A, Duhig, E, Lange, A, Palka, P (2003) Eosinophilic heart: marked left ventricular wall thickening and myocardial dysfunction improving with corticosteroid therapy. Echocardiography 20: pp. 369-74 CrossRef
  13. Parrillo, JE, Borer, JS, Henry, WL, Wolff, SM, Fauci, AS (1979) The cardiovascular manifestations of the hypereosinophilic syndrome. Prospective study of 26 patients, with review of the literature. Am J Med 67: pp. 572-82 CrossRef
  14. Leiferman, KM, Gleich, GJ (2004) Hypereosinophilic syndrome: case presentation and update. J Allergy Clin Immunol 113: pp. 50-8 CrossRef
  15. Ogbogu, PU, Rosing, DR, Horne, MK (2007) Cardiovascular manifestations of hypereosinophilic syndromes. Immunol Allergy Clin North Am 27: pp. 457-75 CrossRef
  16. Thambidorai, SK, Korlakunta, HL, Arouni, AJ, Hunter, WJ, Holmberg, MJ (2009) Acute eosinophilic myocarditis mimicking myocardial infarction. Tex Heart Inst J 36: pp. 355-7
  17. Desreumaux, P, Janin, A, Dubucquoi, S, Copin, MC, Torpier, G, Capron, A (1993) Synthesis of interleukin-5 by activated eosinophils in patients with eosinophilic heart diseases. Blood 82: pp. 1553-60
  18. Yamashita, K, Nakamura, T, Iio, K, Nakashima, Y (1997) Eosinophilic myocarditis complicated by acute myocardial infarction鈥揳 case report. Angiology 48: pp. 1013-8 CrossRef
  19. Debl, K, Djavidani, B, Buchner, S, Poschenrieder, F, Heinicke, N, Feuerbach, S (2008) Time course of eosinophilic myocarditis visualized by CMR. J Cardiovasc Magn Reson 10: pp. 21 CrossRef
  20. Mavrogeni, S, Papadopoulos, G, Hussain, T, Chiribiri, A, Botnar, R, Greil, GF (2013) The emerging role of cardiovascular magnetic resonance in the evaluation of Kawasaki disease. Int J Cardiovasc Imaging 29: pp. 1787-98 CrossRef
  21. Kindermann, I, Barth, C, Mahfoud, F, Ukena, C, Lenski, M, Yilmaz, A (2012) Update on myocarditis. J Am Coll Cardiol 59: pp. 779-92 CrossRef
  22. Leone, O, Veinot, JP, Angelini, A, Baandrup, UT, Basso, C, Berry, G (2012) 2011 consensus statement on endomyocardial biopsy from the Association for European Cardiovascular Pathology and the Society for Cardiovascular Pathology. Cardiovasc Pathol 21: pp. 245-74 CrossRef
  23. Herzog, CA, Snover, DC, Staley, NA (1984) Acute necrotising eosinophilic myocarditis. Br Heart J 52: pp. 343-8 CrossRef
  24. Remme, WJ, Swedberg, K (2001) Guidelines for the diagnosis and treatment of chronic heart failure. Eur Heart J 22: pp. 1527-60 CrossRef
  25. Yanagisawa, T, Inomata, T, Watanabe, I, Maekawa, E, Mizutani, T, Shinagawa, H (2011) Clinical significance of corticosteroid therapy for eosinophilic myocarditis. Int Heart J 52: pp. 110-3 CrossRef
  26. Wong, CW, Luis, S, Zeng, I, Stewart, RA (2008) Eosinophilia and coronary artery vasospasm. Heart Lung Circ 17: pp. 488-96 CrossRef
  27. Kohout, J, Ferdinand, FD, Imaizumi, S, Holmes, EC, Samuels, LE (2006) A rare case of acute necrotizing eosinophilic myocarditis: bridge to recovery with ventricular assist device support. J Thorac Cardiovasc Surg 132: pp. 965-6 CrossRef
  
• 刊物主题：Cardiology; Cardiac Surgery; Angiology; Blood Transfusion Medicine; Internal Medicine;
• 出版者：BioMed Central
• ISSN：1471-2261

文摘

Background Eosinophilic myocarditis (EM) is a relatively rare condition that may result from parasitic infections and allergic disease. Antituberculosis drugs may lead to focal myocardial infiltration by eosinophils (eosinophilic myocarditis). Symptoms may be severe, and, lead to rapidly-fatal outcomes. Early diagnosis and high-dose corticosteroids are the cornerstone of treatment, and, may lead to restoration of cardiac function with full recovery. Case presentation We report a case of eosinophilic myocarditis secondary to eosinophilia caused by antituberculosis drugs with markedly elevated ECP, focal eosinophilic infiltration in CMR imaging and endomyocardial biopsy. Finally, high-dose corticosteroids were used to reverse the cardiac injury and to improve the clinical outcome. Conclusion Antituberculosis drugs can cause eosinophilic infiltration of, and damage to, the myocardium leading to rapid progression of the clinical symptoms. Myocardial biopsy is helpful in diagnosing the disease in the early stages and high-dose corticosteroids effectively improves the prognosis of this disease.