Eosinophilia and Ulcerative Colitis Associated with Eosinophilic Myocarditis
Reactive eosinophilia is associated with inflammatory bowel disease, but its association with eosinophilic myocarditis is rare. We report a case of a 42-year-old man who presented with hypovolemic shock secondary to diarrhea and recently diagnosed nonischemic cardiomyopathy (left ventricular ejectio...
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| Veröffentlicht in: | Texas Heart Institute journal 2017-06, Vol.44 (3), p.219-222 |
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| creator | Murphy, Katie Waldo, Oral Lohrmann, Graham M Tazelaar, Henry D Jokerst, Clinton E Mookadam, Farouk |
| description | Reactive eosinophilia is associated with inflammatory bowel disease, but its association with eosinophilic myocarditis is rare. We report a case of a 42-year-old man who presented with hypovolemic shock secondary to diarrhea and recently diagnosed nonischemic cardiomyopathy (left ventricular ejection fraction, 0.29). Laboratory evaluation revealed marked peripheral eosinophilia. Cardiac magnetic resonance imaging showed evidence of subacute-to-chronic myocarditis, and endomyocardial biopsy results were consistent with eosinophilic myocarditis. Colonic biopsy specimens revealed ulcerative colitis and no eosinophils. Hematologic evaluation was negative for an alternative cause of eosinophilia. The patient was given corticosteroids; his diarrhea resolved, but there was no short-term improvement in his ejection fraction, so an implantable cardioverter-defibrillator was placed. Follow-up at one year showed that the patient's left ventricular ejection fraction had improved to 0.42. |
| doi_str_mv | 10.14503/THIJ-16-5859 |
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We report a case of a 42-year-old man who presented with hypovolemic shock secondary to diarrhea and recently diagnosed nonischemic cardiomyopathy (left ventricular ejection fraction, 0.29). Laboratory evaluation revealed marked peripheral eosinophilia. Cardiac magnetic resonance imaging showed evidence of subacute-to-chronic myocarditis, and endomyocardial biopsy results were consistent with eosinophilic myocarditis. Colonic biopsy specimens revealed ulcerative colitis and no eosinophils. Hematologic evaluation was negative for an alternative cause of eosinophilia. The patient was given corticosteroids; his diarrhea resolved, but there was no short-term improvement in his ejection fraction, so an implantable cardioverter-defibrillator was placed. 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We report a case of a 42-year-old man who presented with hypovolemic shock secondary to diarrhea and recently diagnosed nonischemic cardiomyopathy (left ventricular ejection fraction, 0.29). Laboratory evaluation revealed marked peripheral eosinophilia. Cardiac magnetic resonance imaging showed evidence of subacute-to-chronic myocarditis, and endomyocardial biopsy results were consistent with eosinophilic myocarditis. Colonic biopsy specimens revealed ulcerative colitis and no eosinophils. Hematologic evaluation was negative for an alternative cause of eosinophilia. The patient was given corticosteroids; his diarrhea resolved, but there was no short-term improvement in his ejection fraction, so an implantable cardioverter-defibrillator was placed. 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Waldo, Oral ; Lohrmann, Graham M ; Tazelaar, Henry D ; Jokerst, Clinton E ; Mookadam, Farouk</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-978458ec21a6b9de3edfad4f0032621f9301d3afb4513142537e3380dde4fa33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adrenal Cortex Hormones - therapeutic use</topic><topic>Adult</topic><topic>Anticoagulants - therapeutic use</topic><topic>Biopsy</topic><topic>Case Reports</topic><topic>Colitis, Ulcerative - complications</topic><topic>Colitis, Ulcerative - diagnosis</topic><topic>Colitis, Ulcerative - drug therapy</topic><topic>Defibrillators, Implantable</topic><topic>Diarrhea - etiology</topic><topic>Echocardiography</topic><topic>Electric Countershock - instrumentation</topic><topic>Eosinophilia - diagnosis</topic><topic>Eosinophilia - drug therapy</topic><topic>Eosinophilia - etiology</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Myocarditis - diagnosis</topic><topic>Myocarditis - etiology</topic><topic>Myocarditis - physiopathology</topic><topic>Myocarditis - therapy</topic><topic>Recovery of Function</topic><topic>Shock - etiology</topic><topic>Stroke Volume</topic><topic>Treatment Outcome</topic><topic>Ventricular Function, Left</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Murphy, Katie</creatorcontrib><creatorcontrib>Waldo, Oral</creatorcontrib><creatorcontrib>Lohrmann, Graham M</creatorcontrib><creatorcontrib>Tazelaar, Henry D</creatorcontrib><creatorcontrib>Jokerst, Clinton E</creatorcontrib><creatorcontrib>Mookadam, Farouk</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Texas Heart Institute journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Murphy, Katie</au><au>Waldo, Oral</au><au>Lohrmann, Graham M</au><au>Tazelaar, Henry D</au><au>Jokerst, Clinton E</au><au>Mookadam, Farouk</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Eosinophilia and Ulcerative Colitis Associated with Eosinophilic Myocarditis</atitle><jtitle>Texas Heart Institute journal</jtitle><addtitle>Tex Heart Inst J</addtitle><date>2017-06</date><risdate>2017</risdate><volume>44</volume><issue>3</issue><spage>219</spage><epage>222</epage><pages>219-222</pages><issn>0730-2347</issn><eissn>1526-6702</eissn><abstract>Reactive eosinophilia is associated with inflammatory bowel disease, but its association with eosinophilic myocarditis is rare. We report a case of a 42-year-old man who presented with hypovolemic shock secondary to diarrhea and recently diagnosed nonischemic cardiomyopathy (left ventricular ejection fraction, 0.29). Laboratory evaluation revealed marked peripheral eosinophilia. Cardiac magnetic resonance imaging showed evidence of subacute-to-chronic myocarditis, and endomyocardial biopsy results were consistent with eosinophilic myocarditis. Colonic biopsy specimens revealed ulcerative colitis and no eosinophils. Hematologic evaluation was negative for an alternative cause of eosinophilia. The patient was given corticosteroids; his diarrhea resolved, but there was no short-term improvement in his ejection fraction, so an implantable cardioverter-defibrillator was placed. 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| subjects | Adrenal Cortex Hormones - therapeutic use Adult Anticoagulants - therapeutic use Biopsy Case Reports Colitis, Ulcerative - complications Colitis, Ulcerative - diagnosis Colitis, Ulcerative - drug therapy Defibrillators, Implantable Diarrhea - etiology Echocardiography Electric Countershock - instrumentation Eosinophilia - diagnosis Eosinophilia - drug therapy Eosinophilia - etiology Humans Magnetic Resonance Imaging Male Myocarditis - diagnosis Myocarditis - etiology Myocarditis - physiopathology Myocarditis - therapy Recovery of Function Shock - etiology Stroke Volume Treatment Outcome Ventricular Function, Left |
| title | Eosinophilia and Ulcerative Colitis Associated with Eosinophilic Myocarditis |
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