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Case Reports
. 2013 May;2(2):104-5.
doi: 10.5812/cardiovascmed.9370. Epub 2013 May 20.

Eosinophilic Endomyocardial Fibrosis and Strongyloides stercoralis: A Case Report

Zahra Alizadeh-Sani  1 , Anoushiravan Vakili-Zarch  1 , Majid Kiavar  1 , Behdad Bahadorian  1 , Abas Nabavi  1
Affiliations
Case Reports

Eosinophilic Endomyocardial Fibrosis and Strongyloides stercoralis: A Case Report

Zahra Alizadeh-Sani et al. Res Cardiovasc Med. 2013 May.

Abstract

A 64-year-old female with history of previous aortoiliac occlusion and aortoiliac bypass operation four months ago presented with dyspnea, ascites and leg edema. She has been suffering from bloody diarrhea since two weeks earlier. Laboratory data showed important eosinophilia and stool examination was positive for Strongyloides stercoralis. Patient had clinical signs of heart failure. A cardiac MRI revealed hypersignal subendocardium in favor of endomyocardial fibrosis. Hypereosinophilic syndrome is defined by persistent hypereosinophilia for more than 6 months. The association with different etiologies is known but the report of cardiac involvement due to S. stercoralis infection is not very common. Cardiac manifestation is characterized by a restrictive cardiomyopathy due to toxic damage produced by activated eosinophils.

Keywords: Endomyocardial Fibrosis; Magnetic Resonance Imaging; Strongyloides stercoralis.

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Figures

Figure 1.
Figure 1.. MRI Four Chamber View Through Both Ventricles Showed Apical Filling of Both Ventricles by Thrombus. Significant Pleural Effusion is Also Noted
Figure 2.
Figure 2.. Delayed Enhanced Sequence in the Same View 10 MinutesAfter Gd-DTPA Infusion
See this image and copyright information in PMC

References

    1. Acquatella H, Schiller NB, Puigbo JJ, Gomez-Mancebo JR, Suarez C, Acquatella G. Value of two-dimensional echocardiography in endomyocardial disease with and without eosinophilia. A clinical and pathologic study. Circulation. 1983;67(6):1219–26. - PubMed
    1. Mahrholdt H, Wagner A, Judd RM, Sechtem U, Kim RJ. Delayed enhancement cardiovascular magnetic resonance assessment of non-ischaemic cardiomyopathies. Eur Heart J. 2005;26(15):1461–74. doi: 10.1093/eurheartj/ehi258. - DOI - PubMed
    1. Ommen SR, Seward JB, Tajik AJ. Clinical and echocardiographic features of hypereosinophilic syndromes. Am J Cardiol. 2000;86(1):110–3. - PubMed
    1. Salemi VM, Rochitte CE, Shiozaki AA, Andrade JM, Parga JR, de Avila LF, et al. Late gadolinium enhancement magnetic resonance imaging in the diagnosis and prognosis of endomyocardial fibrosis patients. Circ Cardiovasc Imaging. 2011;4(3):304–11. doi: 10.1161/CIRCIMAGING.110.950675. - DOI - PubMed

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