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01.12.2017 | Case report | Ausgabe 1/2017 Open Access

BMC Cardiovascular Disorders 1/2017

Dramatic and early response to low-dose steroid in the treatment of acute eosinophilic myocarditis: a case report

Zeitschrift:
BMC Cardiovascular Disorders > Ausgabe 1/2017
Autoren:
Yu-Wei Chen, Yu-Cheng Chang, Chieh-Shou Su, Wei-Chun Chang, Wen-Lieng Lee, Chih-Hung Lai
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12872-017-0547-9) contains supplementary material, which is available to authorized users.

Abstract

Background

Eosinophilic myocarditis encompasses a variety of etiologies and the prognosis varies. For patients with a hypersensitive response to medications, high-dose corticosteroids and discontinuation of culprit medications are the main treatments.

Case presentation

We reported a young man with biopsy-proven eosinophilic myocarditis which was possibly induced by Chinese herbal medicine. His heart failure and left ventricular hypertrophy improved soon after low-dose corticosteroid.

Conclusion

Low-dose corticosteroid may be effective in selected patients with eosinophilic myocarditis. Early echocardiographic follow-up is mandatory for evaluation of the clinical response.
Literatur
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