A Case of Idiopathic Hypereosinophilic Syndrome Causing Mitral Valve Papillary Muscle RuptureReportar como inadecuado




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Case Reports in Pediatrics - Volume 2015 2015, Article ID 538762, 5 pages -

Case Report

Florida Hospital for Children, Orlando, FL 32803, USA

University of Central Florida, Orlando, FL 32827, USA

Orlando Health, Orlando, FL 32806, USA

Received 8 September 2015; Revised 20 October 2015; Accepted 26 October 2015

Academic Editor: Hitoshi Horigome

Copyright © 2015 Tiffany Tamse et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Idiopathic Hypereosinophilic Syndrome IHES is a rare disease that can be difficult to diagnose as the differential is broad. This disease can cause significant morbidity and mortality if left untreated. Our patient is a 17-year-old adolescent female who presented with nonspecific symptoms of abdominal pain and malaise. She was incidentally found to have hypereosinophilia of 16,000 on complete blood count and nonspecific colitis and pulmonary edema on computed tomography. She went into cardiogenic shock due to papillary rupture of her mitral valve requiring extreme life support measures including intubation and extracorporal membrane oxygenation ECMO as well as mitral valve replacement. Pathology of the valve showed eosinophilic infiltration as the underlying etiology. The patient was diagnosed with IHES after the exclusion of infectious, rheumatologic, and oncologic causes. She was treated with steroids with improvement of her symptoms and scheduled for close follow-up. In general patients with IHES that have cardiac involvement have poorer prognoses.





Autor: Tiffany Tamse, Avind Rampersad, Alejandro Jordan-Villegas, and Jill Ireland

Fuente: https://www.hindawi.com/



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