Eosinophilic Myocarditis Presenting as Cardiac Tamponade: A Diagnostic Challenge

Eosinophilic myocarditis (EM) is a rare cause of acute heart failure. It can occur secondary to drug hypersensitivity, autoimmune diseases such as vasculitis, idiopathic hypereosinophilic syndrome (HES) or malignancy, but is often under-recognized and underdiagnosed, being confused with other causes...

Full description

Bibliographic Details
Main Authors: Kristine Vo, Yoshito Nishimura, Jennifer Yokoyama, Amanda Wasko, Taryn Miyake, Kimberly Vu, James Zhang, Jesus Pino Moreno, Dipanjan Banerjee, Lisa Kim, Christina Chong
Format: Article
Language:English
Published: SMC MEDIA SRL 2022-09-01
Series:European Journal of Case Reports in Internal Medicine
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/3564
_version_ 1817982546429870080
author Kristine Vo
Yoshito Nishimura
Jennifer Yokoyama
Amanda Wasko
Taryn Miyake
Kimberly Vu
James Zhang
Jesus Pino Moreno
Dipanjan Banerjee
Lisa Kim
Christina Chong
author_facet Kristine Vo
Yoshito Nishimura
Jennifer Yokoyama
Amanda Wasko
Taryn Miyake
Kimberly Vu
James Zhang
Jesus Pino Moreno
Dipanjan Banerjee
Lisa Kim
Christina Chong
author_sort Kristine Vo
collection DOAJ
description Eosinophilic myocarditis (EM) is a rare cause of acute heart failure. It can occur secondary to drug hypersensitivity, autoimmune diseases such as vasculitis, idiopathic hypereosinophilic syndrome (HES) or malignancy, but is often under-recognized and underdiagnosed, being confused with other causes of heart failure. While EM is associated with various clinical symptoms, it is rarely associated with cardiac tamponade that requires urgent pericardiocentesis. Here we describe a patient with EM who presented with cardiac tamponade and decompensated heart failure likely secondary to autoimmune disease.
first_indexed 2024-04-13T23:22:10Z
format Article
id doaj.art-0a370b502c9649e88cd379ae69144cbf
institution Directory Open Access Journal
issn 2284-2594
language English
last_indexed 2024-04-13T23:22:10Z
publishDate 2022-09-01
publisher SMC MEDIA SRL
record_format Article
series European Journal of Case Reports in Internal Medicine
spelling doaj.art-0a370b502c9649e88cd379ae69144cbf2022-12-22T02:25:11ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942022-09-0110.12890/2022_0035643099Eosinophilic Myocarditis Presenting as Cardiac Tamponade: A Diagnostic ChallengeKristine Vo0Yoshito Nishimura1Jennifer Yokoyama2Amanda Wasko3Taryn Miyake4Kimberly Vu5James Zhang6Jesus Pino Moreno7Dipanjan Banerjee8Lisa Kim9Christina Chong10Department of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USADepartment of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USADepartment of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USADepartment of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USADepartment of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USAQueen's Heart Institute, The Queen's Medical Center, Honolulu, Hawaii, USAQueen's Heart Institute, The Queen's Medical Center, Honolulu, Hawaii, USAQueen's Heart Institute, The Queen's Medical Center, Honolulu, Hawaii, USAQueen's Heart Institute, The Queen's Medical Center, Honolulu, Hawaii, USAHawaii Pathologists’ Laboratory, The Queen's Medical Center, Honolulu, Hawaii, USA Department of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USAEosinophilic myocarditis (EM) is a rare cause of acute heart failure. It can occur secondary to drug hypersensitivity, autoimmune diseases such as vasculitis, idiopathic hypereosinophilic syndrome (HES) or malignancy, but is often under-recognized and underdiagnosed, being confused with other causes of heart failure. While EM is associated with various clinical symptoms, it is rarely associated with cardiac tamponade that requires urgent pericardiocentesis. Here we describe a patient with EM who presented with cardiac tamponade and decompensated heart failure likely secondary to autoimmune disease.https://www.ejcrim.com/index.php/EJCRIM/article/view/3564
spellingShingle Kristine Vo
Yoshito Nishimura
Jennifer Yokoyama
Amanda Wasko
Taryn Miyake
Kimberly Vu
James Zhang
Jesus Pino Moreno
Dipanjan Banerjee
Lisa Kim
Christina Chong
Eosinophilic Myocarditis Presenting as Cardiac Tamponade: A Diagnostic Challenge
European Journal of Case Reports in Internal Medicine
title Eosinophilic Myocarditis Presenting as Cardiac Tamponade: A Diagnostic Challenge
title_full Eosinophilic Myocarditis Presenting as Cardiac Tamponade: A Diagnostic Challenge
title_fullStr Eosinophilic Myocarditis Presenting as Cardiac Tamponade: A Diagnostic Challenge
title_full_unstemmed Eosinophilic Myocarditis Presenting as Cardiac Tamponade: A Diagnostic Challenge
title_short Eosinophilic Myocarditis Presenting as Cardiac Tamponade: A Diagnostic Challenge
title_sort eosinophilic myocarditis presenting as cardiac tamponade a diagnostic challenge
url https://www.ejcrim.com/index.php/EJCRIM/article/view/3564
work_keys_str_mv AT kristinevo eosinophilicmyocarditispresentingascardiactamponadeadiagnosticchallenge
AT yoshitonishimura eosinophilicmyocarditispresentingascardiactamponadeadiagnosticchallenge
AT jenniferyokoyama eosinophilicmyocarditispresentingascardiactamponadeadiagnosticchallenge
AT amandawasko eosinophilicmyocarditispresentingascardiactamponadeadiagnosticchallenge
AT tarynmiyake eosinophilicmyocarditispresentingascardiactamponadeadiagnosticchallenge
AT kimberlyvu eosinophilicmyocarditispresentingascardiactamponadeadiagnosticchallenge
AT jameszhang eosinophilicmyocarditispresentingascardiactamponadeadiagnosticchallenge
AT jesuspinomoreno eosinophilicmyocarditispresentingascardiactamponadeadiagnosticchallenge
AT dipanjanbanerjee eosinophilicmyocarditispresentingascardiactamponadeadiagnosticchallenge
AT lisakim eosinophilicmyocarditispresentingascardiactamponadeadiagnosticchallenge
AT christinachong eosinophilicmyocarditispresentingascardiactamponadeadiagnosticchallenge