A 67-year-old
patient presented in a rural hospital with an increasing fatigue and worsening
of her general state of health. She had a known rheumatoid arthritis that was
diagnosed in 1990. One year before she suffered from a first cerebral ischemia
that recurred in the following months resulting in a sensomotoric hemiparesis.
In addition she underwent Hemicolectomy with chemotherapy two months before the actual admission.
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| Eosinophilic Endomyocarditis |
The laboratory showed a leukocytosis, an eosinophilia and an
increase in C-reactive protein. A transthoracic Echocardiogram showed two large
thrombi in both ventricles and a moderately reduced function of both ventricles
(visual EF=35-40%). Earlier coronary angiography did not show any pathology
that could explain the reduced ventricular function. The rural hospital started
a therapy with oral steroids (prednisone 60 mg) and transferred the patient to
the university hospital for further diagnosis. Read more>>>>>>>>>>
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