title: Echocardiographic Changes in Eosinophilic Endocarditis Induced by Churg-Strauss Syndrome.
abstract: Eosinophilic myocarditis may be accompanied by Churg-Strauss syndrome (CSS). We report a case of CSS that was accompanied by myocardial changes in the early stage. A 71-year-old woman complained of mild chest pain at rest, but routine echocardiography did not reveal any endocardial abnormalities. Four months later, the patient was hospitalized due to congestive heart failure with neuropathy of both upper extremities. A diagnosis of eosinophilic myocarditis was made based on the patient's laboratory results and the presence of mural thrombus. This case illustrates that, although early eosinophilic myocarditis is an important differential diagnosis in patients with chest pain, it may be difficult to identify in without an apparent mural thrombus.
authors.affiliation: Department of Cardiovascular Medicine, National Defense Medical College, Japan.
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Masaki
authors.forename: Ami
authors.initials: A
authors.lastname: Issiki
authors.forename: Masato
authors.initials: M
authors.lastname: Kirimura
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Kamiyama
authors.forename: Osamu
authors.initials: O
authors.lastname: Sasaki
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Ito
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Maruyama
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Nishioka
mesh_terms: D000368:Aged; D015267:Churg-Strauss Syndrome / Q000150:complications* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004452:Echocardiography; D004696:Endocarditis / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging; D004802:Eosinophilia / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005260:Female; D006333:Heart Failure / Q000150:complications; D006801:Humans