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

BACKGROUND: Eosinophilic 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 PRESENTATION: We reported a young man with...

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Detalles Bibliográficos
Autores principales: Chen, Yu-Wei, Chang, Yu-Cheng, Su, Chieh-Shou, Chang, Wei-Chun, Lee, Wen-Lieng, Lai, Chih-Hung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5422902/
https://www.ncbi.nlm.nih.gov/pubmed/28482853
http://dx.doi.org/10.1186/s12872-017-0547-9
Descripción
Sumario:BACKGROUND: Eosinophilic 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 PRESENTATION: We 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. CONCLUSION: Low-dose corticosteroid may be effective in selected patients with eosinophilic myocarditis. Early echocardiographic follow-up is mandatory for evaluation of the clinical response. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12872-017-0547-9) contains supplementary material, which is available to authorized users.

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