[صفحه اصلی ]   [Archive]  
:: صفحه اصلي :: درباره نشريه :: آخرين شماره :: تمام شماره‌ها :: جستجو :: ثبت نام :: ارسال مقاله :: تماس با ما ::
:: دوره 12، شماره 1 - ( 10-1399 ) ::
جلد 12 شماره 1 صفحات 107-110 برگشت به فهرست نسخه ها
Loeffler’s Endocarditis in a patient with a new diagnosed Churg-Strauss syndrome(CSS):A Case Report
چکیده:   (473 مشاهده)

Background: Loeffler’s endocarditis is a rare disease, caused by endocardial involvement of esosinophils, which damages the heart and leads to endomyocardial fibrosis with consequent restrictive cardiomyopathy, mural thrombi or valvular dysfunction. The association between Loeffler’s endocarditis and Churg-Strauss syndrome (CSS) was also reported. Abnormal elevation of peripheral eosinophil counts in a heart failure patient is a hint of disease. Though echocardiography or cardiac magnetic resonance imaging (MRI) facilitates diagnosis, endomyocardial biopsy is still the gold standard. Treatments include immunosuppressive agents, anticoagulant and guideline-directed medical therapy for heart failure.
Case presentation: A 59-year-old man presented with progressive dyspnea for one week and he was referred to our hospital for surgical treatment evaluation because valve destruction by infective endocarditis has been suspected at the local hospital. Echocardiography revealed biventricular mural thrombus and limited aortic valve opening caused by abutting thrombus. Moreover, eosinophilia, bronchial asthma, lung infiltration, acute kidney injury and positive perinuclear anti-neutrophil cytoplasmic antibody (p-ANCA) test implied Churg Strauss syndrome. Eosinophil infiltrate with fibrin thrombus was revealed by endomyocardial biopsy. The patient was diagnosed of cardiac involvement of CSS and recovered after immunosuppressive and anticoagulant treatments.
Conclusion: Loeffler’s endocarditis should be suspected when physicians encounter restrictive cardiomyopathy accompanied by mural thrombus in a patient with eosinophilia. Prompt immunosuppressive and anticoagulant medication can bring the disease under control.

متن کامل [PDF 210 kb]   (106 دریافت)    
نوع مطالعه: case report | موضوع مقاله: Cardiology
دریافت: 1399/2/10 | پذیرش: 1399/4/15 | انتشار: 1399/11/5
ارسال نظر درباره این مقاله
نام کاربری یا پست الکترونیک شما:

CAPTCHA



XML   English Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Lin W, Huang K, Hsiung M, Feng A. Loeffler’s Endocarditis in a patient with a new diagnosed Churg-Strauss syndrome(CSS):A Case Report. Caspian J Intern Med. 2021; 12 (1) :107-110
URL: http://caspjim.com/article-1-2299-fa.html

Loeffler’s Endocarditis in a patient with a new diagnosed Churg-Strauss syndrome(CSS):A Case Report. 1. 1399; 12 (1) :107-110

URL: http://caspjim.com/article-1-2299-fa.html



دوره 12، شماره 1 - ( 10-1399 ) برگشت به فهرست نسخه ها
Caspian Journal of Internal Medicine
Persian site map - English site map - Created in 0.04 seconds with 30 queries by YEKTAWEB 4312