A Case of Idiopathic Hypereosinophilic Syndrome Causing Mitral Valve Papillary Muscle Rupture
Idiopathic Hypereosinophilic Syndrome (IHES) is a rare disease that can be difficult to diagnose as the differential is broad. This disease can cause significant morbidity and mortality if left untreated. Our patient is a 17-year-old adolescent female who presented with nonspecific symptoms of abdom...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2015/538762 |
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| author | Tiffany Tamse Avind Rampersad Alejandro Jordan-Villegas Jill Ireland |
| author_facet | Tiffany Tamse Avind Rampersad Alejandro Jordan-Villegas Jill Ireland |
| author_sort | Tiffany Tamse |
| collection | DOAJ |
| description | Idiopathic Hypereosinophilic Syndrome (IHES) is a rare disease that can be difficult to diagnose as the differential is broad. This disease can cause significant morbidity and mortality if left untreated. Our patient is a 17-year-old adolescent female who presented with nonspecific symptoms of abdominal pain and malaise. She was incidentally found to have hypereosinophilia of 16,000 on complete blood count and nonspecific colitis and pulmonary edema on computed tomography. She went into cardiogenic shock due to papillary rupture of her mitral valve requiring extreme life support measures including intubation and extracorporal membrane oxygenation (ECMO) as well as mitral valve replacement. Pathology of the valve showed eosinophilic infiltration as the underlying etiology. The patient was diagnosed with IHES after the exclusion of infectious, rheumatologic, and oncologic causes. She was treated with steroids with improvement of her symptoms and scheduled for close follow-up. In general patients with IHES that have cardiac involvement have poorer prognoses. |
| format | Article |
| id | doaj-art-6f14be2beab642a9ada602167b984c38 |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-6f14be2beab642a9ada602167b984c382025-02-03T01:22:29ZengWileyCase Reports in Pediatrics2090-68032090-68112015-01-01201510.1155/2015/538762538762A Case of Idiopathic Hypereosinophilic Syndrome Causing Mitral Valve Papillary Muscle RuptureTiffany Tamse0Avind Rampersad1Alejandro Jordan-Villegas2Jill Ireland3Florida Hospital for Children, Orlando, FL 32803, USAFlorida Hospital for Children, Orlando, FL 32803, USAFlorida Hospital for Children, Orlando, FL 32803, USAUniversity of Central Florida, Orlando, FL 32827, USAIdiopathic Hypereosinophilic Syndrome (IHES) is a rare disease that can be difficult to diagnose as the differential is broad. This disease can cause significant morbidity and mortality if left untreated. Our patient is a 17-year-old adolescent female who presented with nonspecific symptoms of abdominal pain and malaise. She was incidentally found to have hypereosinophilia of 16,000 on complete blood count and nonspecific colitis and pulmonary edema on computed tomography. She went into cardiogenic shock due to papillary rupture of her mitral valve requiring extreme life support measures including intubation and extracorporal membrane oxygenation (ECMO) as well as mitral valve replacement. Pathology of the valve showed eosinophilic infiltration as the underlying etiology. The patient was diagnosed with IHES after the exclusion of infectious, rheumatologic, and oncologic causes. She was treated with steroids with improvement of her symptoms and scheduled for close follow-up. In general patients with IHES that have cardiac involvement have poorer prognoses.http://dx.doi.org/10.1155/2015/538762 |
| spellingShingle | Tiffany Tamse Avind Rampersad Alejandro Jordan-Villegas Jill Ireland A Case of Idiopathic Hypereosinophilic Syndrome Causing Mitral Valve Papillary Muscle Rupture Case Reports in Pediatrics |
| title | A Case of Idiopathic Hypereosinophilic Syndrome Causing Mitral Valve Papillary Muscle Rupture |
| title_full | A Case of Idiopathic Hypereosinophilic Syndrome Causing Mitral Valve Papillary Muscle Rupture |
| title_fullStr | A Case of Idiopathic Hypereosinophilic Syndrome Causing Mitral Valve Papillary Muscle Rupture |
| title_full_unstemmed | A Case of Idiopathic Hypereosinophilic Syndrome Causing Mitral Valve Papillary Muscle Rupture |
| title_short | A Case of Idiopathic Hypereosinophilic Syndrome Causing Mitral Valve Papillary Muscle Rupture |
| title_sort | case of idiopathic hypereosinophilic syndrome causing mitral valve papillary muscle rupture |
| url | http://dx.doi.org/10.1155/2015/538762 |
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