Loeffler's endocarditis—A case report
Loeffler's endocarditis is an acute form of primary restrictive cardiomyopathy. We report the case of a young woman with pleuritic chest pain associated with fever and hypereosinophilia. She was hospitalized with suspected acute myopericarditis and was treated with aspirin, leading to clinical...
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doaj-d8e9d0af732147e4bd4d5a1de0ebc8222020-11-25T01:35:46ZengElsevierRevista Portuguesa de Cardiologia (English Edition)2174-20492012-06-01316445448Loeffler's endocarditis—A case reportRicardo Faria0Walter Santos1Vasco Marques2Nuno Marques3Nelson Tavares4Veloso Gomes5Corresponding author.; Serviço de Cardiologia, Hospital de Faro, Faro, PortugalServiço de Cardiologia, Hospital de Faro, Faro, PortugalServiço de Cardiologia, Hospital de Faro, Faro, PortugalServiço de Cardiologia, Hospital de Faro, Faro, PortugalServiço de Cardiologia, Hospital de Faro, Faro, PortugalServiço de Cardiologia, Hospital de Faro, Faro, PortugalLoeffler's endocarditis is an acute form of primary restrictive cardiomyopathy. We report the case of a young woman with pleuritic chest pain associated with fever and hypereosinophilia. She was hospitalized with suspected acute myopericarditis and was treated with aspirin, leading to clinical improvement. Ten days after discharge, she was rehospitalized due to recurrence of chest pain. The echocardiogram showed what appeared to be a mass filling the apex of the right ventricle (RV). She was referred for magnetic resonance imaging, which revealed marked myocardial thickening in the apex of the RV. The patient underwent an endomyocardial biopsy, resulting in a diagnosis of eosinophilic endocarditis. After treatment with prednisolone, all symptoms and the eosinophilia disappeared, and there was complete remission of the RV abnormalities. After three years of follow-up, the patient remains asymptomatic. This case shows that, even without an etiologic diagnosis of eosinophilia, the prognosis for Loeffler's endocarditis can be favorable if treatment is initiated early. Resumo: A endomiocardite de Löffler é uma miocardiopatia restritiva primária aguda. Relatamos o caso clínico de uma jovem que inicia dor torácica pleurítica associada a febre e hipereosinofilia. Internada por suspeita de miopericardite aguda e submetida a tratamento com ácido acetilsalicílico, verificou-se melhoria clínica. Dez dias após a alta é reinternada por recorrência da dor. O ecocardiograma mostrou uma aparente massa ocupando o apex do ventrículo direito (VD). Referenciada para ressonância magnética cardíaca, esta demonstrou um marcado espessamento do miocárdio no apex do VD. Foi submetida a biópsia endomiocárdica que diagnosticou uma endomiocardite eosinofílica. Após o início do tratamento com prednisolona, verificou-se o desaparecimento da sintomatologia, da eosinofilia e uma regressão completa das alterações no VD. Ao fim de 3 anos de seguimento mantém-se assintomática. O caso descrito revela que o prognóstico da endomiocardite de Löffler, mesmo sem um diagnóstico etiológico da eosinofilia, poderá ser favorável, se o tratamento for iniciado precocemente. Keywords: Loeffler's endocarditis, Hypereosinophilia, Corticosteroids, Palavras-chave: Endomiocardite de Löffler, Hipereosinofilia, Corticosteróideshttp://www.sciencedirect.com/science/article/pii/S2174204912000827 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ricardo Faria Walter Santos Vasco Marques Nuno Marques Nelson Tavares Veloso Gomes |
spellingShingle |
Ricardo Faria Walter Santos Vasco Marques Nuno Marques Nelson Tavares Veloso Gomes Loeffler's endocarditis—A case report Revista Portuguesa de Cardiologia (English Edition) |
author_facet |
Ricardo Faria Walter Santos Vasco Marques Nuno Marques Nelson Tavares Veloso Gomes |
author_sort |
Ricardo Faria |
title |
Loeffler's endocarditis—A case report |
title_short |
Loeffler's endocarditis—A case report |
title_full |
Loeffler's endocarditis—A case report |
title_fullStr |
Loeffler's endocarditis—A case report |
title_full_unstemmed |
Loeffler's endocarditis—A case report |
title_sort |
loeffler's endocarditis—a case report |
publisher |
Elsevier |
series |
Revista Portuguesa de Cardiologia (English Edition) |
issn |
2174-2049 |
publishDate |
2012-06-01 |
description |
Loeffler's endocarditis is an acute form of primary restrictive cardiomyopathy. We report the case of a young woman with pleuritic chest pain associated with fever and hypereosinophilia. She was hospitalized with suspected acute myopericarditis and was treated with aspirin, leading to clinical improvement. Ten days after discharge, she was rehospitalized due to recurrence of chest pain. The echocardiogram showed what appeared to be a mass filling the apex of the right ventricle (RV). She was referred for magnetic resonance imaging, which revealed marked myocardial thickening in the apex of the RV. The patient underwent an endomyocardial biopsy, resulting in a diagnosis of eosinophilic endocarditis. After treatment with prednisolone, all symptoms and the eosinophilia disappeared, and there was complete remission of the RV abnormalities. After three years of follow-up, the patient remains asymptomatic. This case shows that, even without an etiologic diagnosis of eosinophilia, the prognosis for Loeffler's endocarditis can be favorable if treatment is initiated early. Resumo: A endomiocardite de Löffler é uma miocardiopatia restritiva primária aguda. Relatamos o caso clínico de uma jovem que inicia dor torácica pleurítica associada a febre e hipereosinofilia. Internada por suspeita de miopericardite aguda e submetida a tratamento com ácido acetilsalicílico, verificou-se melhoria clínica. Dez dias após a alta é reinternada por recorrência da dor. O ecocardiograma mostrou uma aparente massa ocupando o apex do ventrículo direito (VD). Referenciada para ressonância magnética cardíaca, esta demonstrou um marcado espessamento do miocárdio no apex do VD. Foi submetida a biópsia endomiocárdica que diagnosticou uma endomiocardite eosinofílica. Após o início do tratamento com prednisolona, verificou-se o desaparecimento da sintomatologia, da eosinofilia e uma regressão completa das alterações no VD. Ao fim de 3 anos de seguimento mantém-se assintomática. O caso descrito revela que o prognóstico da endomiocardite de Löffler, mesmo sem um diagnóstico etiológico da eosinofilia, poderá ser favorável, se o tratamento for iniciado precocemente. Keywords: Loeffler's endocarditis, Hypereosinophilia, Corticosteroids, Palavras-chave: Endomiocardite de Löffler, Hipereosinofilia, Corticosteróides |
url |
http://www.sciencedirect.com/science/article/pii/S2174204912000827 |
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