A case of peripartum eosinophilic myocarditis.
A 19-year-old postpartum patient with a previous history of asthma and eosinophilic myocarditis is described. Eosinophilic myocarditis is thought to be caused by exacerbation of the idiopathic hypereosinophilic syndrome by pregnancy. The diagnosis was made by a right ventricular endomyocardial biopsy, which showed an eosinophilic infiltrate with a few scattered foci of myonecrosis, but no fibrosis, vasculitis or granulomas. The patient's myocardial function continued to decline over a two-year follow-up period, despite normal levels of eosinophils. She developed echocardiographic evidence of diastolic and systolic dysfunction.
D000328:Adult; D001706:Biopsy; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D004802:Eosinophilia / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D009205:Myocarditis / Q000175:diagnosis* / Q000188:drug therapy; D009206:Myocardium / Q000473:pathology; D011644:Puerperal Disorders / Q000175:diagnosis* / Q000188:drug therapy; D012008:Recurrence; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000188:drug therapy