Dramatic and early response to low-dose steroid in the treatment of acute eosinophilic myocarditis: a case report

BMC Cardiovascular Disorders

Case Report

Yu-Cheng Chang¹  Yu-Wei Chen²  Wei-Chun Chang³  Wen-Lieng Lee⁴  Chih-Hung Lai⁴  Chieh-Shou Su⁴ 

[1] Department of Cardiology, Asia University Hospital, Taichung, Taiwan, Republic of China;Division of Cardiology, Department of Internal Medicine, Taichung Veterans General Hospital Chiayi Branch, Chiayi, Taiwan, Republic of China;Division of Interventional Cardiology, Cardiovascular Center, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, 40705, Taichung, Taiwan, Republic of China;Division of Interventional Cardiology, Cardiovascular Center, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, 40705, Taichung, Taiwan, Republic of China;School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China;

关键词: Case report;    Eosinophilia;    Heart failure;    Hypereosinophilic syndrome;    Left ventricular hypertrophy;    Myocarditis;    Steroids;   

DOI  :  10.1186/s12872-017-0547-9

 received in 2016-09-25, accepted in 2017-04-28,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundEosinophilic myocarditis encompasses a variety of etiologies and the prognosis varies. For patients with a hypersensitive response to medications, high-dose corticosteroids and discontinuation of culprit medications are the main treatments.Case presentationWe reported a young man with biopsy-proven eosinophilic myocarditis which was possibly induced by Chinese herbal medicine. His heart failure and left ventricular hypertrophy improved soon after low-dose corticosteroid.ConclusionLow-dose corticosteroid may be effective in selected patients with eosinophilic myocarditis. Early echocardiographic follow-up is mandatory for evaluation of the clinical response.

【 授权许可】

CC BY   
© The Author(s). 2017