A fiery heart: case report of perimyocarditis in a patient with eosinophilic granulomatosis with polyangiitis.

ABSTRACT:

Background

Eosinophilic granulomatosis with polyangiitis (EGPA) is a rare disease caused by small- to medium-sized vessel vasculitis which can also impact the heart. Because of its rarity and diverse clinical manifestations, diagnosis can be challenging. Here, we present a unique case of EGPA causing perimyocarditis in a young female patient.

Case summary

A 37-year-old woman with hypertension, asthma, and sickle cell trait presented with palpitations, dyspnoea, and sharp chest pain. White blood cell was elevated to 16 300/μL with peripheral eosinophilia at 5216/μL. Electrocardiogram revealed sinus tachycardia with frequent non-sustained ventricular tachycardia. Echocardiogram showed an ejection fraction of 20-25% with severe diffuse hypokinesis and dilated cardiac chambers.

SUBMITTER: Park DY 

PROVIDER: S-EPMC11483628 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature