Eosinophilic Myocarditis in a Patient With Strongyloides stercoralis Infection

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Yannis Dimitroglou1, Thodoris Alexopoulos2, Constantina Aggeli1

  • 1First Department of Cardiology, National and Kapodistrian University of Athens Medical School, Hippocration General Hospital of Athens, Athens, Greece.

JACC. Case Reports
|July 28, 2021
PubMed

Insights

A patient with pulmonary embolism and stroke was diagnosed with eosinophilic myocarditis due to Strongyloides stercoralis infection. Treatment with ivermectin and rivaroxaban led to significant recovery.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Parasitology

Background:

  • Eosinophilic myocarditis can present with severe thromboembolic events.
  • Strongyloides stercoralis hyperinfection is a rare but serious complication.

Observation:

  • A 40-year-old woman presented with pulmonary embolism, CNS infarcts, and eosinophilia.
  • Cardiac imaging revealed eosinophilic myocarditis involving the left ventricle.

Findings:

  • Diagnosis of Strongyloides stercoralis infection was confirmed.
  • Treatment with ivermectin and rivaroxaban improved clinical, laboratory, and cardiac findings.

Implications:

  • This case highlights the importance of considering parasitic infections in unexplained eosinophilia and cardiac involvement.
  • Early diagnosis and treatment of Strongyloides stercoralis are crucial for favorable outcomes in patients with cardiac complications.

Keywords:
CE, contrast-enhanced transthoracic echocardiographyCMR, cardiac magnetic resonanceCT, computed tomographyECG, electrocardiogramLV, left ventricularcardiac manifestationscardiovascular imagingeosinophiliainflammatory myocarditisparasitic infection

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