Eosinophilic myocarditis mimicking acute coronary syndrome in a young man with T-lymphoblastic lymphoma and hypereosinophilia

BMJ Case Rep. 2023 Sep 25;16(9):e255396. doi: 10.1136/bcr-2023-255396.

Abstract

A man in his 20s with underlying chemorefractory primary T-lymphoblastic lymphoma and hypereosinophilia developed acute chest pain in the ward after readmission for disease progression. ECG showed widespread ST depression and serum troponin was markedly elevated. Transthoracic echocardiography showed diffused thrombus deposition with preserved ejection fraction consistent with eosinophilic myocarditis. The patient ultimately succumbed to the disease, after complications with severe hospital-acquired pneumonia.

Keywords: Cancer - see Oncology; Haematology (incl blood transfusion); Pericardial disease.

Publication types

  • Case Reports

MeSH terms

  • Acute Coronary Syndrome* / diagnosis
  • Eosinophilia* / diagnosis
  • Humans
  • Lymphoma, Non-Hodgkin*
  • Male
  • Myocarditis* / diagnosis
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma*
  • Precursor T-Cell Lymphoblastic Leukemia-Lymphoma*