Vol. 43 | No. 1 | January-June 2015 Back

Open Access

Fatal Eosinophilic Myocarditis from Intestinal Parasitism and Bronchial Asthma Mimicking Acute Coronary Syndrome in a 39-Year-Old Filipino Female

Jose Eduardo DL. Duya, Paul Anthony O. Alad, Mariel B. Cruz, Richard Henry  P. Tiongco, John Anthony D. Tindoc
Jun 2015 DOI 10.69944/pjc.3b48fa9221

Abstract

Eosinophilic myocarditis (EM) is a rare and often underrecognized disease (0.5% of unselected  autopsy series) leading to progressive myocardial damage, heart failure and death. Although parasitism  is a common cause of eosinophilia in developing countries, marked eosinophilia causing myocardial  infiltration and progressive heart failure is rare. The incidence of bronchial asthma (BA) leading to  EM is not known either. In this paper, we report a case of EM in a 39-year-old female with a history  of BA and ascariasis. 

KEYWORDS: eosinophilic myocarditis, hypereosinophilia, acute coronary syndrome.

References
  1. Thambidorai SK, Korlakunta HL, Arouni AJ, Hunter WJ,  Holmberg MJ. Acute eosinophilic myocarditis mimicking  myocardial infarction. Tex Heart Inst J. 2009;36(4):355-7.  
  2. Al Ali AM, Staatman LP, Allard MF, Ingaszewski AP. Eosinophilic  myocarditis: case series and review of literature. Can J Cardiol.  2006;22(14):1233-7. 
  3. Ni X, Sun JP, Yang XS, Yu C. Acute eosinophilic myocarditis. Int J  Cardiol. 2014;176(3): 1192-4. 
  4. Japanese Circulation Society Joint Working Group. Guidelines  for diagnosis and treatment of myocarditis (JCS 2009). Circ J.  2011;75:734-43. 
  5. Nutman TB. Evaluation and differential diagnosis of marked,  persistent eosinophilia Immunol Allergy Clin North Am. 2007  August; 27(3):529-49. 
  6. Cooper LT, Baughman KL, Feldman AM, Frustaci A, Jessup M,  Kuhl U, Levine GN, Narula J, Starling RC, Towbin J, Virmani  R. The role of endomyocardial biopsy in the management of  cardiovascular disease. J Am Coll Cardiol. 2007;50(19):1914-31. 
  7. Rizkallah J, Desautels A, Malik A, Zieroth S, Jassal D, Hussain F,  Cordova F. Eosinophilic myocarditis: two case reports and review of  the literature. BMC Res Notes. 2013;6:538.
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