Early Non-Invasive Diagnosis and Treatment of Acute Eosinophlic Myopericarditis by Cardiac Magnetic Resonance.
10.3346/jkms.2011.26.11.1522
- Author:
Eun Young KIM
1
;
Sung A CHANG
;
Yoo Kyung LEE
;
Jin Oh CHOI
;
Yeon Hyeon CHOE
Author Information
1. Division of Cardiology, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. elisabet.chang@gmail.com
- Publication Type:Case Reports
- Keywords:
Myocarditis;
Magnetic Resonance Imaging
- MeSH:
Adult;
Early Diagnosis;
Echocardiography;
Eosinophilia/*diagnosis;
Female;
Gadolinium/diagnostic use;
Humans;
Magnetic Resonance Imaging;
Pericarditis/*diagnosis/*drug therapy/pathology;
Ventricular Dysfunction, Left/diagnosis/drug therapy/pathology
- From:Journal of Korean Medical Science
2011;26(11):1522-1526
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of early non-invasive diagnosis of acute eosinophilic myopericarditis (AEM) by cardiovascular magnetic resonance (CMR) before cardiac biopsy. A 35-yr-old woman presented with a flu-like illness, followed by pleuritic chest pain and shortness of breath. Transthoracic echocardiography revealed mild left ventricular (LV) systolic dysfunction with borderline LV wall thickness and moderate pericardial effusion. The patient had peripheral eosinophilia and CMR was performed immediately at first day of visit before cardiac biopsy. CMR showed diffuse subepicardial high T2 signals and diffuse late gadolinium enhancement in LV. Steroid therapy was immediately initiated and patient's symptom was rapidly improved. Endomyocardial biopsy at hospital day 3 reported multifocal mild infiltration of eosinophils and lymphocytes. The patient was finally confirmed as acute eosinophilic myopericarditis. This presentation emphasizes on the role of CMR which enables early non-invasive diagnosis of AEM and visualize the extent of the myocarditis.
