[Atrioventricular block and left ventricular wall mobility disorder in a 44-year-old female patient : A case report of a rarity with pitfalls].
PMID 31123761 · Der Internist · 2019 · DOI 10.1007/s00108-019-0608-5
Authors: J Stempfl; F Schumacher; M Doering; H Wolf; F Streithoff; J Tacke; H Fahn; P Ehlermann; P Raake; K Klingel; D Elsner; M Groebner
Abstract
Eosinophilic myocarditis is a rare condition with good treatment options, which can be difficult to diagnose. The clinical presentation can vary from asymptomatic to life-threatening forms. This article describes the case of a 44-year-old woman who suffered from vertigo, chest pain and dyspnea. The woman presented with an intermittent atrioventricular (AV) block II Mobitz type II° and mild impairment of left ventricular ejection fraction. Hypereosinophilia in the peripheral blood, cardiac magnetic resonance imaging (MRI) and endomyocardial biopsy led to the diagnosis of eosinophilic myocarditis, most likely as a result of an allergic reaction to Aspergillus fumigatus. A general treatment recommendation cannot be made due to the lack of evidence-based guidelines; however, recent scientific studies confirmed timely, high-dose steroid administration over several months to be the mainstay of treatment of eosinophilic myocarditis. The following article may be helpful in the early diagnosis and treatment of this underdiagnosed and insidious disease.
Adult; Atrioventricular Block; Biopsy; Eosinophilia; Female; Humans; Magnetic Resonance Imaging; Myocarditis; Myocardium
Cite
J Stempfl; F Schumacher; M Doering; H Wolf; F Streithoff; J Tacke; H Fahn; P Ehlermann; P Raake; K Klingel; D Elsner; M Groebner. [Atrioventricular block and left ventricular wall mobility disorder in a 44-year-old female patient : A case report of a rarity with pitfalls]. Der Internist (2019). PMID 31123761. DOI 10.1007/s00108-019-0608-5.