A case of death in children with hypereosinophilia complicated with Loffler endocarditis
10.3760/cma.j.cn101721-20220728-000323
- VernacularTitle:儿童高嗜酸粒细胞增多症并发Loffler心内膜炎致死1例
- Author:
Xinhua WU
1
;
Lin FENG
;
Xiaoning WANG
;
Juan HE
Author Information
1. 河北医科大学第二医院儿内科，石家庄 050000
- Keywords:
Children;
Hypereosinophilia;
Hypereosinophilic syndrome;
Loffler endocarditis
- From:
Clinical Medicine of China
2023;39(1):50-53
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical features of hypereosinophilia (HE) complicated with Loffler endocarditis in children, in order to analyze the etiology, clinical stage and prognosis of HE complicated with Loffler endocarditis.Methods:A case of childhood hypereosinophilia complicated with Loffler endocarditis diagnosed and treated in the Second Hospital of Hebei Medical University was analyzed retrospectively, and its clinical characteristics, causes and clinical stages were analyzed.Results:In this study, the patient was a young male. He had diarrhea for more than 40 days due to intermittent abdominal pain, dyspnea for 10 days, and poor food intake for 3 days. The blood routine showed that he was HE. The ultrasound showed Loffler endocarditis. The child had severe heart failure and multiple organ functions were involved. After active treatment, he still had multiple organ failure, and finally died of multiple organ failure and ventricular fibrillation.Conclusion:Loffler endocarditis is a serious complication of HE, with low morbidity and rare clinical manifestations. Early intervention can reduce mortality.
