Usefulness of Cardiac Magnetic Resonance in the Diagnosis of Löffler Endocarditis Secondary to Eosinophilic Granulomatosis with Polyangiitis

Internal Medicine
Kana KurokawaKatsumi Miyauchi

Abstract

A 40-year-old man who was diagnosed with bronchial asthma and eosinophilia was transferred to our hospital due to a worsening respiratory status. He was diagnosed with eosinophilic granulomatosis with polyangiitis (EGPA), and eosinophilic pneumoniae. Cardiac magnetic resonance (CMR) imaging indicated Löffler endocarditis. Treatment was initiated using intravenous methylprednisolone, cyclophosphamide, and heparin as anticoagulation therapy. Three months later, CMR showed the improvement of the LV myocardium. In this case, the early diagnosis of Löffler endocarditis by CMR could prevent systemic embolism and CMR was useful for assessing the curative effects of steroid and immunosuppressant therapy.

References

Apr 10, 2009·JACC. Cardiovascular Imaging·Anja ZagrosekJeanette Schulz-Menger
Dec 9, 2010·Circulation Journal : Official Journal of the Japanese Circulation Society·Wojciech SzczeklikJacek Musial

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Citations

Jun 11, 2020·Cardiology in Review·Mohammed SalihKarthik Ananthasubramaniam

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Methods Mentioned

BETA
X-ray
biopsy

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