Eosinophilic Myocarditis Presenting as Cardiac Tamponade: A Diagnostic Challenge
  • Kristine Vo
    Department of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA
  • Yoshito Nishimura
    Department of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA
  • Jennifer Yokoyama
    Department of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA
  • Amanda Wasko
    Department of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA
  • Taryn Miyake
    Department of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA
  • Kimberly Vu
    Queen's Heart Institute, The Queen's Medical Center, Honolulu, Hawaii, USA
  • James Zhang
    Queen's Heart Institute, The Queen's Medical Center, Honolulu, Hawaii, USA
  • Jesus Pino Moreno
    Queen's Heart Institute, The Queen's Medical Center, Honolulu, Hawaii, USA
  • Dipanjan Banerjee
    Queen's Heart Institute, The Queen's Medical Center, Honolulu, Hawaii, USA
  • Lisa Kim
    Hawaii Pathologists’ Laboratory, The Queen's Medical Center, Honolulu, Hawaii, USA
  • Christina Chong
    Department of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA

Abstract

Eosinophilic myocarditis (EM) is a rare cause of acute heart failure. It can occur secondary to drug hypersensitivity, autoimmune diseases such as vasculitis, idiopathic hypereosinophilic syndrome (HES) or malignancy, but is often under-recognized and underdiagnosed, being confused with other causes of heart failure. While EM is associated with various clinical symptoms, it is rarely associated with cardiac tamponade that requires urgent pericardiocentesis. Here we describe a patient with EM who presented with cardiac tamponade and decompensated heart failure likely secondary to autoimmune disease.

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    Published: 2022-09-20
    Issue: 2022: Vol 9 No 9 (view)

    How to cite:
    1.
    Vo K, Nishimura Y, Yokoyama J, Wasko A, Miyake T, Vu K, Zhang J, Pino Moreno J, Banerjee D, Kim L, Chong C. Eosinophilic Myocarditis Presenting as Cardiac Tamponade: A Diagnostic Challenge. EJCRIM 2022;9 doi:10.12890/2022_003564.