TITLE

Clinically suspected acute myopericarditis with cardiac tamponade associated with peripheral blood eosinophilia presenting in early pregnancy: a case report

AUTHOR(S)
Yu Kasamatsu; Takashi Kida; Mayumi Shigeru; Toru Tagashira; Naoki Murai; Eiji Takai; Hideyuki Takaoka
PUB. DATE
June 2013
SOURCE
Journal of Medical Case Reports;2013, Vol. 7 Issue 1, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
Introduction: The clinical presentation of eosinophilic myocarditis may vary from asymptomatic to the manifestation of severe symptoms, including cardiac tamponade and arrhythmias. In pregnant patients with this condition, drugs must be used cautiously up to approximately the 4th month of pregnancy because drug use should be limited during the period of fetal organogenesis. Case presentation: A 30-year-old Asian woman at 14 weeks of pregnancy with progressive malaise was hospitalized. The electrocardiogram revealed ST elevation and low QRS voltage. Echocardiography revealed massive pericardial effusion and myocardial swelling. A laboratory examination revealed an increase in her white blood cell count, with a predominance of neutrophils. Pericardial drainage was performed for relief of the cardiac tamponade. The pericardial effusion revealed an abundance of eosinophils. Subsequently, the peripheral blood eosinophil count began to rise, and the patient was clinically diagnosed with eosinophilic myopericarditis. The patient's condition improved rapidly following the initiation of prednisolone treatment, and she finally delivered a full-term normal infant. Conclusions: A patient with clinically suspected myopericarditis in the early stage of pregnancy who improved rapidly with pericardial drainage and prednisolone therapy, and successfully delivered a normal full-term infant; the diagnosis was made in the early stage of the disease, based on the detection of an abundance of eosinophils in the pericardial effusion preceding the subsequent development of peripheral blood eosinophilia.
ACCESSION #
88014133

 

Related Articles

  • Eosinophilic heart disease in a paediatric patient. Dedieu, Natalie; Giardini, Alessandro; Khambadkone, Sachin; Marek, Jan // European Journal of Echocardiography;Jan2011, Vol. 12 Issue 1, pE3 

    A 12-year-old child with no previous medical history was referred with a 4-day history of cough, shortness of breath, and peripheral blood eosinophilia. Transthoracic echocardiography showed a soft tissue infiltrating the left ventricular free wall, the lateral mitral annulus, and the mitral...

  • TRICHINOSIS. Bohrod, Milton G. // American Journal of Gastroenterology;Jul1961, Vol. 36 Issue 1, p67 

    Presents several allergic components of trichinosis. Eosinophilia; Acute myocarditis; Tuberculoid granulomas.

  • Pharmacoepidemiology of Drugs Used During Pregnancy in Malnad Region of Karnataka. Priyanka, O.; Kuppast, I. J.; Mankani, K. L.; Prakash, K. Chandra; Veershekar, T.; Shekhashavali; Kumar, M. Sudheer // Journal of Pharmacy Research;2012, Vol. 5 Issue 8, p4163 

    Nowadays, exposure of pregnant women to drugs is very common. For about 90% of pregnant women take three or four drugs at different stages of pregnancy. The study indicates that drug consumption during pregnancy is increased. Around 250 patients were enrolled for the study in Malnad region of...

  • Managing IBD during pregnancy.  // Cortlandt Forum;08/25/98, Vol. 11 Issue 8, p86 

    Comments on the use of medications during pregnancy. Effects of corticosteroids to fetus; Drugs which do not exhibit detrimental effect on pregnancy; Adverse effects of active inflammatory bowel disease acquired at the course of pregnancy.

  • Azathioprine/ciclosporin/prednisolone.  // Reactions Weekly;1/21/2017, Vol. 1635 Issue 1, p53 

    An abstract of the article "Rash and eosinophilia in a transplant patient" by R.S. Rashid and others is presented.

  • Eosinophilic Myocarditis Associated with Visceral Larva Migrans Caused by Toxocara Canis Infection. Ji Hee Kim; Woo-Baek Chung; Kyung-Yoon Chang; Sun-Young Ko; Mi-Hee Park; Young-Kyoung Sa; Yun-Seok Choi; Chul-Soo Park; Man-Young Lee // Journal of Cardiovascular Ultrasound;Sep2012, Vol. 20 Issue 3, p150 

    A 41-year-old woman who was diagnosed with myocarditis presented eosinophilia. Since the antibody against Toxocara canis (T. cams) was positive, we diagnosed that she had visceral larva migrans due to T. canis associated with myocarditis. She was treated with oral albendazole and prednisolone...

  • Eosinophilic Myocarditis -- Rapid Onset and Resolution of a Rare Cardiomyopathy. Song Ching Ong; La, Hahn; Kuo, Philip H.; Dang, Michael; Spies, Christian // Hawaii Medical Journal;Sep2009, Vol. 68 Issue 8, p190 

    A 47-year-old woman with no past medical history presented with chills and myalgia. She was given naproxen and oseltamivir (Tamiflu). Within two days she developed nausea, epigastric pain and dyspnea and presented to the ER. Blood pressure was 95/74 mmHg. Physical examination revealed moderate...

  • Camphor Induced Myocarditis: A Case Report. Bhaya, Maneesha; Beniwal, Rajesh // Cardiovascular Toxicology;2007, Vol. 7 Issue 3, p212 

    Availability of camphor containing products in households is not uncommon. In certain parts of the world, camphor is used in medicines intended for enteral intake and also used as a flavoring agent in edibles. Toxicity due to ingestion of camphor has been described and in severe forms it...

  • RN NEWS WATCH DRUG UPDATE: Report May Give Moms On Meds Reasons To Pause.  // RN;Feb2003, Vol. 66 Issue 2, p96 

    Discusses results of a study linking spontaneous adverse events in children whose mothers took drugs during pregnancy, delivery or lactation. Age group of children; Mortality during first year of life.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics