Eosinophilia and ulcerative colitis associated with eosinophilic myocarditis

Katie Murphy, Oral Waldo, Graham M. Lohrmann, Henry D. Tazelaar, Clinton E. Jokerst, Farouk Mookadam

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Reactive eosinophilia is associated with inflammatory bowel disease, but its association with eosinophilic myocarditis is rare. We report a case of a 42-year-old man who presented with hypovolemic shock secondary to diarrhea and recently diagnosed nonischemic cardiomyopathy (left ventricular ejection fraction, 0.29). Laboratory evaluation revealed marked peripheral eosinophilia. Cardiac magnetic resonance imaging showed evidence of subacute-to-chronic myocarditis, and endomyocardial biopsy results were consistent with eosinophilic myocarditis. Colonic biopsy specimens revealed ulcerative colitis and no eosinophils. Hematologic evaluation was negative for an alternative cause of eosinophilia. The patient was given corticosteroids; his diarrhea resolved, but there was no short-term improvement in his ejection fraction, so an implantable cardioverter-defibrillator was placed. Follow-up at one year showed that the patient’s left ventricular ejection fraction had improved to 0.42.

Original languageEnglish (US)
Pages (from-to)219-222
Number of pages4
JournalTexas Heart Institute Journal
Volume44
Issue number3
DOIs
StatePublished - Jun 1 2017

Keywords

  • Acute disease
  • Colitis, ulcerative/complications/therapy
  • Eosinophilia/diagnosis/pathology/therapy
  • Heart diseases/etiology
  • Immunosuppressive agents/therapeutic use
  • Inflammatory bowel diseases/complications/drug therapy
  • Myocarditis/diagnosis/etiology/therapy
  • Treatment outcome
  • Ventricular dysfunction, left

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Murphy, K., Waldo, O., Lohrmann, G. M., Tazelaar, H. D., Jokerst, C. E., & Mookadam, F. (2017). Eosinophilia and ulcerative colitis associated with eosinophilic myocarditis. Texas Heart Institute Journal, 44(3), 219-222. https://doi.org/10.14503/THIJ-16-5859