Eitan Amnon, Lessick Jonathan, Zukermann Robert
Department of Cardiology, Rambam Health Care Campus, Haifa.
Harefuah. 2017 Sep;156(9):551-554.
Eosinophilic myocarditis is a rare disease with an unknown etiology, that may be severe and even lethal. Early treatment based on steroids may prevent deterioration and even lead to complete cure, but it requires rapid diagnosis. The gold standard for diagnosis of the disease is by endomyocardial biopsy but this test has low sensitivity and involves risks to the patient. This case report presents a patient who was admitted with complaints of chest pain. During her workup, with the help of cardiac MRI, eosinophilic myocarditis with mild deterioration in heart function was diagnosed. Treatment with prednisone resulted in rapid improvement in patient complaints, laboratory indices and heart function.