Cano Gutiérrez C, Kallmeyer Martín C, Barbero García J M, Barroso López J, García-Cosío F
Servicio de Cardiología, Hospital Central de la Cruz Roja, Madrid.
Rev Esp Cardiol. 1990 Apr;43(4):271-4.
A 31 year-old male had the sudden onset of left ventricular failure, left ventricular apical thrombus, large pericardial effusion, pulmonary infiltrates and up to 59% eosinophils in the differential leucocyte count. A pericardial biopsy showed eosinophilic infiltration. The whole clinical picture improved dramatically with corticosteroid therapy. After 1 year of treatment with prednisone left ventricular function improved markedly, pericardial effusion disappeared, eosinophils were absent on the peripheral blood smear and the patient was asymptomatic. No endocardial thickening was detected by echocardiography.
一名31岁男性突然出现左心室衰竭、左心室心尖血栓、大量心包积液、肺部浸润，白细胞分类计数中嗜酸性粒细胞高达59%。心包活检显示嗜酸性粒细胞浸润。经皮质类固醇治疗后，整体临床症状显著改善。使用泼尼松治疗1年后，左心室功能明显改善，心包积液消失，外周血涂片未见嗜酸性粒细胞，患者无症状。超声心动图未检测到心内膜增厚。
