Hypereosinophilic syndrome with large intracardiac thrombus.
- Author:
Kian-Guan LEE
1
;
Matthew Bingfeng CHUAH
;
Hak-Chiaw TANG
;
Terrance Siang Jin CHUA
Author Information
1. Renal Medicine Department, Singapore General Hospital, Outram Road, Singapore 169608. kianguan.lee@mohh.com.sg.
- Publication Type:Case Reports
- MeSH:
Blood Cell Count;
Contrast Media;
chemistry;
Echocardiography;
Eosinophils;
cytology;
Flow Cytometry;
Heart Atria;
pathology;
Heart Diseases;
complications;
diagnostic imaging;
Heart Failure;
complications;
Heart Ventricles;
pathology;
Humans;
Hypereosinophilic Syndrome;
complications;
diagnostic imaging;
Male;
Middle Aged;
Motion;
Steroids;
therapeutic use;
Thrombosis;
complications;
diagnostic imaging;
Treatment Outcome
- From:Singapore medical journal
2014;55(8):e129-31
- CountrySingapore
- Language:English
-
Abstract:
As the nonspecific clinical presentation of hypereosinophilic syndrome (HES) may mimic many multisystemic diseases, it often presents as a diagnostic challenge. Herein, we report the case of a 60-year-old man who presented with progressive heart failure symptoms and eosinophilia. Despite extensive diagnostic evaluation, no underlying cause was found. Transthoracic echocardiography revealed a large left ventricular thrombus, which is suggestive of hypereosinophilic cardiac involvement. The patient was started on steroids and responded clinically and haematologically.
