When Hypereosinophilia Leads to Stroke

Emilie Chalayer1, Aude Pelissier1, Bernard Tardy1,2

  • 1Intensive care unit, CHU Saint Etienne, Hopital Nord, 42055 Saint Etienne, France.

AFIP1L1-PDGFRA fusion can only be confirmed through molecular and cytogenetic investigations causing a delay in the diagnosis. However, patients with this mutation need urgent treatment because they present hypereosinophilia which may be associated with short-term tissue damage. Thromboembolism is a known cause of death in hypereosinophilic syndrome. A case of Loeffler endocarditis due to FIP1L1-PDGFRA-associated chronic eosinophilic leukemia presenting hemiparesis with fever, which also mislead the initial diagnosis, is reported.

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