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Published in: BMC Cardiovascular Disorders 1/2017

Open Access 01-12-2017 | Case report

Dramatic and early response to low-dose steroid in the treatment of acute eosinophilic myocarditis: a case report

Authors: Yu-Wei Chen, Yu-Cheng Chang, Chieh-Shou Su, Wei-Chun Chang, Wen-Lieng Lee, Chih-Hung Lai

Published in: BMC Cardiovascular Disorders | Issue 1/2017

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Abstract

Background

Eosinophilic myocarditis encompasses a variety of etiologies and the prognosis varies. For patients with a hypersensitive response to medications, high-dose corticosteroids and discontinuation of culprit medications are the main treatments.

Case presentation

We reported a young man with biopsy-proven eosinophilic myocarditis which was possibly induced by Chinese herbal medicine. His heart failure and left ventricular hypertrophy improved soon after low-dose corticosteroid.

Conclusion

Low-dose corticosteroid may be effective in selected patients with eosinophilic myocarditis. Early echocardiographic follow-up is mandatory for evaluation of the clinical response.
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Metadata
Title
Dramatic and early response to low-dose steroid in the treatment of acute eosinophilic myocarditis: a case report
Authors
Yu-Wei Chen
Yu-Cheng Chang
Chieh-Shou Su
Wei-Chun Chang
Wen-Lieng Lee
Chih-Hung Lai
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Cardiovascular Disorders / Issue 1/2017
Electronic ISSN: 1471-2261
DOI
https://doi.org/10.1186/s12872-017-0547-9

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