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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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
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author Chen, Yu-Wei
Chang, Yu-Cheng
Su, Chieh-Shou
Chang, Wei-Chun
Lee, Wen-Lieng
Lai, Chih-Hung
author_facet Chen, Yu-Wei
Chang, Yu-Cheng
Su, Chieh-Shou
Chang, Wei-Chun
Lee, Wen-Lieng
Lai, Chih-Hung
author_sort Chen, Yu-Wei
collection PubMed
description 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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spelling pubmed-54229022017-05-12 Dramatic and early response to low-dose steroid in the treatment of acute eosinophilic myocarditis: a case report Chen, Yu-Wei Chang, Yu-Cheng Su, Chieh-Shou Chang, Wei-Chun Lee, Wen-Lieng Lai, Chih-Hung BMC Cardiovasc Disord 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 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. BioMed Central 2017-05-08 /pmc/articles/PMC5422902/ /pubmed/28482853 http://dx.doi.org/10.1186/s12872-017-0547-9 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Chen, Yu-Wei
Chang, Yu-Cheng
Su, Chieh-Shou
Chang, Wei-Chun
Lee, Wen-Lieng
Lai, Chih-Hung
Dramatic and early response to low-dose steroid in the treatment of acute eosinophilic myocarditis: a case report
title Dramatic and early response to low-dose steroid in the treatment of acute eosinophilic myocarditis: a case report
title_full Dramatic and early response to low-dose steroid in the treatment of acute eosinophilic myocarditis: a case report
title_fullStr Dramatic and early response to low-dose steroid in the treatment of acute eosinophilic myocarditis: a case report
title_full_unstemmed Dramatic and early response to low-dose steroid in the treatment of acute eosinophilic myocarditis: a case report
title_short Dramatic and early response to low-dose steroid in the treatment of acute eosinophilic myocarditis: a case report
title_sort dramatic and early response to low-dose steroid in the treatment of acute eosinophilic myocarditis: a case report
topic Case Report
url 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
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