title: Acute necrotizing eosinophilic myocarditis in a young woman.
abstract: Eosinophilic myocarditis is recognized by severe heart failure and marked eosinophilia infiltration resulting from different etiologies. Acute necrotizing eosinophilic myocarditis, the initial presentation of the disease, is rare and often fatal, with unique echocardiographic pictures, and followed by endocardial thrombosis and chronic endomyocardial fibrosis. We report a young female with acute lymphoblastic leukemia who presented fever and acute heart failure syndrome. The echocardiography showed severe left ventricle diastolic dysfunction with preserved ejection fraction. Systemic eosinophilia and the unique echocardiographic images made the diagnosis of acute necrotizing eosinophilic myocarditis. The patient survived after intensive cytotoxic chemotherapy including high-dose steroid.
authors.affiliation: Cardiovascular Center, Taichung Veterans General Hospital, Taichung, Taiwan, ROC.
authors.forename: Ying-Chieh
authors.initials: YC
authors.lastname: Liao
authors.forename: Chieh-Shou
authors.initials: CS
authors.lastname: Su
authors.forename: Chieh-Lin
authors.initials: CL
authors.lastname: Teng
authors.forename: Kuo-Yang
authors.initials: KY
authors.lastname: Wang
authors.forename: Fang-Yi
authors.initials: FY
authors.lastname: Lin
authors.forename: Chih-Tai
authors.initials: CT
authors.lastname: Ting
authors.forename: Wei-Wen
authors.initials: WW
authors.lastname: Lin
mesh_terms: D000208:Acute Disease; D004452:Echocardiography; D004802:Eosinophilia / Q000175:diagnosis*; D005260:Female; D006801:Humans; D009205:Myocarditis / Q000175:diagnosis*; D055815:Young Adult