title: A case of biventricular apical obliteration.
abstract: We present a case of Loëffler endocarditis in a 45-year-old man. This syndrome is characterized by unexplained prolonged and marked hypereosinophilia (>1500 eosinophils/mm), absence of a primary cause of hypereosinophilia and evidence of eosinophil-mediated organ damage. Detection of cardiac damage is based on electrocardiography, echocardiography, cardiac MRI and endomyocardial biopsy. Two-dimensional echocardiography is an essential tool for diagnosis. In this case, a transthoracic echocardiogram revealed a complete obliteration of the apex of both ventricles associated with a restrictive left ventricular filling pattern.
authors.affiliation: Dipartimento Clinico-Sperimentale di Medicina e Farmacologia. Policlinico G. Martino Università di Messina, Italy. tittizito@libero.it
authors.forename: Concetta
authors.initials: C
authors.lastname: Zito
authors.forename: Gianluca
authors.initials: G
authors.lastname: Di Bella
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Mileto
authors.forename: Salvatore
authors.initials: S
authors.lastname: Lentini
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Dattilo
authors.forename: Scipione
authors.initials: S
authors.lastname: Carerj
mesh_terms: D004452:Echocardiography; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D017681:Hypereosinophilic Syndrome / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D008875:Middle Aged