Cargando…

A Pitfall in the Diagnosis of Eosinophilic Myocarditis in a Patient who Received Steroid Therapy

Eosinophilic myocarditis is a rare form of myocardial inflammation that is characterized by the infiltration of eosinophilic cells into the myocardium. The clinical symptoms of eosinophilic myocarditis are similar to those of acute coronary syndrome, and eosinophilic myocarditis sometimes occurs in...

Descripción completa

Detalles Bibliográficos
Autores principales: Watanabe, Yusuke, Wada, Hiroshi, Sakakura, Kenichi, Fujita, Hideo, Momomura, Shin-ichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5337460/
https://www.ncbi.nlm.nih.gov/pubmed/28090045
_version_ 1782512381864181760
author Watanabe, Yusuke
Wada, Hiroshi
Sakakura, Kenichi
Fujita, Hideo
Momomura, Shin-ichi
author_facet Watanabe, Yusuke
Wada, Hiroshi
Sakakura, Kenichi
Fujita, Hideo
Momomura, Shin-ichi
author_sort Watanabe, Yusuke
collection PubMed
description Eosinophilic myocarditis is a rare form of myocardial inflammation that is characterized by the infiltration of eosinophilic cells into the myocardium. The clinical symptoms of eosinophilic myocarditis are similar to those of acute coronary syndrome, and eosinophilic myocarditis sometimes occurs in combination with bronchial asthma. We herein present a case of eosinophilic myocarditis in which additional time was required to make a definitive diagnosis because the patient received steroid therapy. The diagnosis of eosinophilic myocarditis is challenging, especially when a patient has other inflammatory diseases, such as bronchial asthma. We should pay attention to the possibility that steroid therapy may mask the presentation of eosinophilic myocarditis.
format Online
Article
Text
id pubmed-5337460
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher The Japanese Society of Internal Medicine
record_format MEDLINE/PubMed
spelling pubmed-53374602017-03-08 A Pitfall in the Diagnosis of Eosinophilic Myocarditis in a Patient who Received Steroid Therapy Watanabe, Yusuke Wada, Hiroshi Sakakura, Kenichi Fujita, Hideo Momomura, Shin-ichi Intern Med Case Report Eosinophilic myocarditis is a rare form of myocardial inflammation that is characterized by the infiltration of eosinophilic cells into the myocardium. The clinical symptoms of eosinophilic myocarditis are similar to those of acute coronary syndrome, and eosinophilic myocarditis sometimes occurs in combination with bronchial asthma. We herein present a case of eosinophilic myocarditis in which additional time was required to make a definitive diagnosis because the patient received steroid therapy. The diagnosis of eosinophilic myocarditis is challenging, especially when a patient has other inflammatory diseases, such as bronchial asthma. We should pay attention to the possibility that steroid therapy may mask the presentation of eosinophilic myocarditis. The Japanese Society of Internal Medicine 2017-01-15 /pmc/articles/PMC5337460/ /pubmed/28090045 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Watanabe, Yusuke
Wada, Hiroshi
Sakakura, Kenichi
Fujita, Hideo
Momomura, Shin-ichi
A Pitfall in the Diagnosis of Eosinophilic Myocarditis in a Patient who Received Steroid Therapy
title A Pitfall in the Diagnosis of Eosinophilic Myocarditis in a Patient who Received Steroid Therapy
title_full A Pitfall in the Diagnosis of Eosinophilic Myocarditis in a Patient who Received Steroid Therapy
title_fullStr A Pitfall in the Diagnosis of Eosinophilic Myocarditis in a Patient who Received Steroid Therapy
title_full_unstemmed A Pitfall in the Diagnosis of Eosinophilic Myocarditis in a Patient who Received Steroid Therapy
title_short A Pitfall in the Diagnosis of Eosinophilic Myocarditis in a Patient who Received Steroid Therapy
title_sort pitfall in the diagnosis of eosinophilic myocarditis in a patient who received steroid therapy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5337460/
https://www.ncbi.nlm.nih.gov/pubmed/28090045
work_keys_str_mv AT watanabeyusuke apitfallinthediagnosisofeosinophilicmyocarditisinapatientwhoreceivedsteroidtherapy
AT wadahiroshi apitfallinthediagnosisofeosinophilicmyocarditisinapatientwhoreceivedsteroidtherapy
AT sakakurakenichi apitfallinthediagnosisofeosinophilicmyocarditisinapatientwhoreceivedsteroidtherapy
AT fujitahideo apitfallinthediagnosisofeosinophilicmyocarditisinapatientwhoreceivedsteroidtherapy
AT momomurashinichi apitfallinthediagnosisofeosinophilicmyocarditisinapatientwhoreceivedsteroidtherapy
AT watanabeyusuke pitfallinthediagnosisofeosinophilicmyocarditisinapatientwhoreceivedsteroidtherapy
AT wadahiroshi pitfallinthediagnosisofeosinophilicmyocarditisinapatientwhoreceivedsteroidtherapy
AT sakakurakenichi pitfallinthediagnosisofeosinophilicmyocarditisinapatientwhoreceivedsteroidtherapy
AT fujitahideo pitfallinthediagnosisofeosinophilicmyocarditisinapatientwhoreceivedsteroidtherapy
AT momomurashinichi pitfallinthediagnosisofeosinophilicmyocarditisinapatientwhoreceivedsteroidtherapy