Miocarditis aguda como manifestación de granulomatosis eosinofílica

  1. Calderón-Flores, Miguel 1
  2. Morán-Fernández, Laura 2
  3. García-Robles, José Antonio 3
  4. Enguita-Valls, Ana Belén 4
  5. Delgado-Jiménez, Juan Francisco 5
  1. 1 Servicio de Cardiología, Hospital Universitario 12 de Octubre, Madrid, España
  2. 2 Servicio de Cardiología, Hospital Universitario 12 de Octubre; Centro de Investigación Biomédica en Red Enfermedades Cardiovaculares (CIBERCV), Madrid, España
  3. 3 Servicio de Medicina Interna, Hospital Universitario 12 de Octubre, Madrid, España
  4. 4 Servicio de Anatomía Patológica, Hospital Universitario 12 de Octubre, Madrid, España
  5. 5 Servicio de Cardiología, Hospital Universitario 12 de Octubre; Centro de Investigación Biomédica en Red Enfermedades Cardiovaculares (CIBERCV); Facultad de Medicina de la Universidad Complutense de Madrid, Madrid, España
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Revista:
Revista Española de Casos Clínicos en Medicina Interna (RECCMI)

ISSN: 2530-0792

Año de publicación: 2022

Volumen: 7

Número: 1

Páginas: 6-8

Tipo: Artículo

DOI: 10.32818/RECCMI.A7N1A3 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Revista Española de Casos Clínicos en Medicina Interna (RECCMI)

Objetivos de desarrollo sostenible

Resumen

We present the case of a young male traveller in Southeast Asia who consulted for chest pain, and was initially managed as an acute coronary syndrome. Once coronary artery disease was ruled out and hypereosinophilia was observed, we carried out a broad differential diagnosis of its possible causes. Complementary tests confirmed eosinophilic myocarditis with ventricular dysfunction. Further clinical history and tests led to a diagnosis of eosinophilic granulomatosis with polyangiitis. Following the introduction of drugs for heart failure, as well as corticosteroids and mepolizumab, the patient improved clinically, and the ejection fraction was completely recovered.

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