Korean Circ J.  2009 Dec;39(12):545-547. 10.4070/kcj.2009.39.12.545.

Eosinophilic Endomyocarditis Combined With Pericardial and Pleural Effusion

• You SH
• Hong SJ
• Ahn CM
• Lim DS

• KMID: 2225643
• DOI: http://doi.org/10.4070/kcj.2009.39.12.545

Abstract

Eosinophilic endomyocarditis is a manifestation of hypereosinophilic syndrome, characterized by prolonged (>6 months), unexplained peripheral blood eosinophilia (>1,500 cells/mm3) with end-organ damage in unknown causes. We report a case of a 42-year-old patient who developed eosinophilic endomyocarditis following upper respiratory tract symptoms for 2 months. Additionally, endomyocarditis was combined with massive pleural effusion and pericardial effusion, which have not been reported in Korea.

Keyword

Hypereosinophilic syndrome, myocardiris; Pericardial effusion; Pleural effusion

MeSH Terms

Adult
Eosinophilia
Eosinophils
Humans
Hypereosinophilic Syndrome
Korea
Pericardial Effusion
Pleural Effusion
Respiratory System

Figure

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  Fig. 1 A: initial chest X-ray showed a right-sided pleural effusion and cardiomegaly. B: pleural effusion decreased in follow up chest X-ray. C: transthoracic echocardiography (parasternal long axia view) showed left ventricular hypertrophy and moderate pericardial effusion without thrombus.

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  Fig. 2 Endomyocardial biopsy specimens revealed the deposition of degranulated eosinophils in endomyocardium.

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