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題名 | Acute Necrotizing Eosinophilic Myocarditis in a Young Woman= |
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作者 | Liao, Ying-chieh; Su, Chieh-shou; Teng, Chieh-lin; Wang, Kuo-yang; Lin, Fang-yi; Ting, Chih-tai; Lin, Wei-wen; |
期刊 | Journal of the Chinese Medical Association |
出版日期 | 20121000 |
卷期 | 75:10 2012.10[民101.10] |
頁次 | 頁536-538 |
分類號 | 415.3165 |
語文 | eng |
關鍵詞 | Acute lymphoblastic leukemia; Acute necrotizing eosinophilic myocarditis; Eosinophilic myocarditis; |
英文摘要 | Eosinophilic myocarditis is recognized by severe heart failure and marked eosinophilia infiltration resulting from different etiologies. Acute necrotizing eosinophilic myocarditis, the initial presentation of the disease, is rare and often fatal, with unique echocardiographic pictures, and followed by endocardial thrombosis and chronic endomyocardial fibrosis. We report a young female with acute lymphoblastic leukemia who presented fever and acute heart failure syndrome. The echocardiography showed severe left ventricle diastolic dysfunction with preserved ejection fraction. Systemic eosinophilia and the unique echocardiographic images made the diagnosis of acute necrotizing eosinophilic myocarditis. The patient survived after intensive cytotoxic chemotherapy including high-dose steroid. |
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