Ascaris-induced eosinophilic myocarditis presenting as acute ST elevation myocardial infarction and cardiogenic shock in a young woman.

摘要

Eosinophilic myocarditis is a relatively rare condition and usually results from myocardial damage as a result of drugs or parasites. It is generally associated with increased peripheral eosinophil count.1 The clinical presentation of patients with myocarditis is variable, ranging from fatigue to cardiogenic shock, acute coronary syndrome and sudden death. It is difficult to differentiate acute myocarditis from acute myocardial infarction in some cases.2"12 Associated pericardial inflammation often causes precordial chest discomfort and, together with diffuse EGG changes, can mimic an acute coronary syndrome.13 The diagnosis of myocarditis is made on the basis of clinical presentation, ECG changes, elevated cardiac enzymes and absence of coronary artery disease.