RESUMO
Idiopathic hypereosinophilic syndrome is a state of marked eosinophilia of unknown cause accompanied by multiple organ involvement. Any organ may be involved including bone marrow, heart, lung, gastrointestinal tract, liver, kidney and the nervous system. The common cardiac manifestations of hypereosinophlic syndrome are myocarditis, endocardial fibrosis, formation of mural thrombi, valvular hearat disease, restrictive cardiomyopathy and congestive heart failure. We report a case of a 61-year-old man with idiopathic hypereosinophilic syndrome manifested by myocarditis and severe pericardial effusion on transthoracicechocardiography that was successfully treated by pericardiocentesis and on-going steroid therapy.
Assuntos
Humanos , Pessoa de Meia-Idade , Medula Óssea , Cardiomiopatia Restritiva , Eosinofilia , Fibrose , Trato Gastrointestinal , Coração , Insuficiência Cardíaca , Síndrome Hipereosinofílica , Rim , Fígado , Pulmão , Miocardite , Sistema Nervoso , Derrame Pericárdico , PericardiocenteseRESUMO
Bacterial aortitis is a rare, but fatal, infectious disease underlying an atherosclerotic aorta or normal aortic wall in an immunocompromised host. The commonly identified organisms responsible for the condition are Salmonella, Staphylococcus and Streptococcus, and on rare occasions, E.coli. We report a case of a 57-year-old man with bacterial aortitis and a splenic abscess caused by E.coli, which was successfully treated by periaortic debridement, prosthetic graft replacement, splenectomy and antibiotic therapy.