Fulminant Eosinophilic Myocarditis Associated With Visceral Larva Migrans Caused by Toxocara Canis Infection
A 19-year-old man was transferred to hospital because of myocarditis with cardiogenic shock. Echocardiography showed a left ventricular ejection fraction of 23.8% and an intermediate amount of pericardial effusion. The patient immediately received an intra-aortic balloon pump and percutaneous cardio...
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| Veröffentlicht in: | Circulation Journal 2009, Vol.73(7), pp.1344-1348 |
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| creator | Enko, Kenki Tada, Takeshi Ohgo, Keiko O. Nagase, Satoshi Nakamura, Kazufumi Ohta, Kei Ichiba, Shingo Ujike, Yoshihito Nawa, Yukifumi Maruyama, Haruhiko Ohe, Tohru Kusano, Kengo F. |
| description | A 19-year-old man was transferred to hospital because of myocarditis with cardiogenic shock. Echocardiography showed a left ventricular ejection fraction of 23.8% and an intermediate amount of pericardial effusion. The patient immediately received an intra-aortic balloon pump and percutaneous cardiopulmonary support. Right ventricular endomyocardial biopsy was performed in the acute phase and showed extensive eosinophilic inflammatory cell infiltration, severe interstitial edema and moderate myocardial necrosis. High-dose corticosteroids were administered. Because the patient's antibody titer against Toxocara canis was high and his symptoms had appeared after eating raw deer meat, the diagnosis was fulminant eosinophilic myocarditis caused by a hypersensitivity reaction to visceral larval migrans. After starting high-dose corticosteroids, the ejectionfraction dramatically improved, the eosinophilia decreased and the patient made a full recovery. (Circ J 2009; 73: 1344-1348) |
| doi_str_mv | 10.1253/circj.CJ-08-0334 |
| format | Article |
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Echocardiography showed a left ventricular ejection fraction of 23.8% and an intermediate amount of pericardial effusion. The patient immediately received an intra-aortic balloon pump and percutaneous cardiopulmonary support. Right ventricular endomyocardial biopsy was performed in the acute phase and showed extensive eosinophilic inflammatory cell infiltration, severe interstitial edema and moderate myocardial necrosis. High-dose corticosteroids were administered. Because the patient's antibody titer against Toxocara canis was high and his symptoms had appeared after eating raw deer meat, the diagnosis was fulminant eosinophilic myocarditis caused by a hypersensitivity reaction to visceral larval migrans. After starting high-dose corticosteroids, the ejectionfraction dramatically improved, the eosinophilia decreased and the patient made a full recovery. 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Echocardiography showed a left ventricular ejection fraction of 23.8% and an intermediate amount of pericardial effusion. The patient immediately received an intra-aortic balloon pump and percutaneous cardiopulmonary support. Right ventricular endomyocardial biopsy was performed in the acute phase and showed extensive eosinophilic inflammatory cell infiltration, severe interstitial edema and moderate myocardial necrosis. High-dose corticosteroids were administered. Because the patient's antibody titer against Toxocara canis was high and his symptoms had appeared after eating raw deer meat, the diagnosis was fulminant eosinophilic myocarditis caused by a hypersensitivity reaction to visceral larval migrans. After starting high-dose corticosteroids, the ejectionfraction dramatically improved, the eosinophilia decreased and the patient made a full recovery. (Circ J 2009; 73: 1344-1348)</description><subject>Adrenal Cortex Hormones - therapeutic use</subject><subject>Animals</subject><subject>Corticosteroids</subject><subject>Eosinophilia</subject><subject>Humans</subject><subject>Larva Migrans, Visceral - diagnosis</subject><subject>Larva Migrans, Visceral - parasitology</subject><subject>Male</subject><subject>Myocarditis</subject><subject>Myocarditis - diagnosis</subject><subject>Myocarditis - drug therapy</subject><subject>Myocarditis - parasitology</subject><subject>Toxocara</subject><subject>Toxocara canis</subject><subject>Toxocariasis - complications</subject><subject>Toxocariasis - diagnosis</subject><subject>Treatment Outcome</subject><subject>Visceral larva migrans</subject><subject>Young Adult</subject><issn>1346-9843</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUlPwzAQhS0EYincOSGfuKV4S-IcUURZVMSF5Wi5tkNdpXaxHUT_PUlb0SOXmdHoe0-jeQBcYjTGJKc3yga1GNdPGeIZopQdgFNMWZkxTtDhZi6yijN6As5iXCBEKpRXx-AEV5gQitgpaCddu7ROugTvfLTOr-a2tQo-r72SQdtkI7yN0Ssrk9Hww6Y5fLdRmSBbOJXhW8Jn-xmki7CWXeyR2Rq--p9BLfuV6_WPrjEqWe_OwVEj22gudn0E3iZ3r_VDNn25f6xvp5nKCU0Z5Vw3FS2YKTTV1SwvCKtKneMcG0LUjOOGN5IQnWvCG1aaglCsG2WoRhrlJR2B663vKvivzsQklsPJbSud8V0URclw2X_iX5AgQivMix5EW1AFH2MwjVgFu5RhLTASQxRiE4WonwTiYoiil1ztvLvZ0ui9YPf7HphsgUVM8tP8ATIkq1qzcyypKIeyd94DcxmEcfQXtCuf4A</recordid><startdate>20090701</startdate><enddate>20090701</enddate><creator>Enko, Kenki</creator><creator>Tada, Takeshi</creator><creator>Ohgo, Keiko O.</creator><creator>Nagase, Satoshi</creator><creator>Nakamura, Kazufumi</creator><creator>Ohta, Kei</creator><creator>Ichiba, Shingo</creator><creator>Ujike, Yoshihito</creator><creator>Nawa, Yukifumi</creator><creator>Maruyama, Haruhiko</creator><creator>Ohe, Tohru</creator><creator>Kusano, Kengo F.</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>20090701</creationdate><title>Fulminant Eosinophilic Myocarditis Associated With Visceral Larva Migrans Caused by Toxocara Canis Infection</title><author>Enko, Kenki ; 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| subjects | Adrenal Cortex Hormones - therapeutic use Animals Corticosteroids Eosinophilia Humans Larva Migrans, Visceral - diagnosis Larva Migrans, Visceral - parasitology Male Myocarditis Myocarditis - diagnosis Myocarditis - drug therapy Myocarditis - parasitology Toxocara Toxocara canis Toxocariasis - complications Toxocariasis - diagnosis Treatment Outcome Visceral larva migrans Young Adult |
| title | Fulminant Eosinophilic Myocarditis Associated With Visceral Larva Migrans Caused by Toxocara Canis Infection |
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