Eosinophilia associated with dobutamine allergy causes eosinophilic endomyocarditis confirmed by serial endomyocardial biopsies

Abstract We report a case of eosinophilic endomyocarditis caused by eosinophilia due to dobutamine allergy and successfully treated by a short-term and medium-dose steroid administration. Serial endomyocardial biopsies were useful for early diagnosis and evaluation of the effect of the treatment. Eo...

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Veröffentlicht in:Journal of cardiology cases 2012-12, Vol.6 (6), p.e179-e182
Hauptverfasser: Funasako, Moritoshi, MD, Funada, Akira, MD, Kanzaki, Hideaki, MD, FJCC, Takahama, Hiroyuki, MD, Amaki, Makoto, MD, Hasegawa, Takuya, MD, Ikeda, Yoshihiko, MD, Ishibashi-Ueda, Hatsue, MD, Anzai, Toshihisa, MD, Kitakaze, Masafumi, MD, FJCC
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container_issue 6
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container_title Journal of cardiology cases
container_volume 6
creator Funasako, Moritoshi, MD
Funada, Akira, MD
Kanzaki, Hideaki, MD, FJCC
Takahama, Hiroyuki, MD
Amaki, Makoto, MD
Hasegawa, Takuya, MD
Ikeda, Yoshihiko, MD
Ishibashi-Ueda, Hatsue, MD
Anzai, Toshihisa, MD
Kitakaze, Masafumi, MD, FJCC
description Abstract We report a case of eosinophilic endomyocarditis caused by eosinophilia due to dobutamine allergy and successfully treated by a short-term and medium-dose steroid administration. Serial endomyocardial biopsies were useful for early diagnosis and evaluation of the effect of the treatment. Eosinophilic endomyocarditis due to dobutamine allergy is a rare entity; however, because of the high utilization rate of dobutamine in patients with low output heart failure, it is important to recognize that additional deterioration of cardiac function caused by eosinophilic endomyocarditis makes prognosis poor and early intervention is necessary. < Learning objective: Eosinophilic endomyocarditis due to dobutamine allergy is a rare entity; however, because of the high utilization rate of dobutamine in patients with low output heart failure, it is important to recognize that additional deterioration of cardiac function caused by eosinophilic endomyocarditis makes their prognosis poor and early intervention is necessary. Serial endomyocardial biopsies were useful for early diagnosis and evaluation of the effect of the treatment.>
doi_str_mv 10.1016/j.jccase.2012.08.004
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Serial endomyocardial biopsies were useful for early diagnosis and evaluation of the effect of the treatment. Eosinophilic endomyocarditis due to dobutamine allergy is a rare entity; however, because of the high utilization rate of dobutamine in patients with low output heart failure, it is important to recognize that additional deterioration of cardiac function caused by eosinophilic endomyocarditis makes prognosis poor and early intervention is necessary. &lt; Learning objective: Eosinophilic endomyocarditis due to dobutamine allergy is a rare entity; however, because of the high utilization rate of dobutamine in patients with low output heart failure, it is important to recognize that additional deterioration of cardiac function caused by eosinophilic endomyocarditis makes their prognosis poor and early intervention is necessary. 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subjects Biopsy
Cardiovascular
Case Report
Dobutamine
Drug-induced lymphocyte stimulation test
Eosinophilia
Eosinophilic endomyocarditis
title Eosinophilia associated with dobutamine allergy causes eosinophilic endomyocarditis confirmed by serial endomyocardial biopsies
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