Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26495174
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 AJP+Rep
2015 ; 5
(2
): e150-2
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Eosinophilic Endomyocarditis: A Rare Case of Neonatal Mortality
#MMPMID26495174
Pollock AJ
; Hitt SL
; Stier MA
; Houser LM
AJP Rep
2015[Oct]; 5
(2
): e150-2
PMID26495174
show ga
Background?Eosinophilic endomyocarditis (EEM) is a rare diagnosis that is
extremely uncommon in newborns. This case report aimed to present a case of
neonatal mortality from acute cardiac failure due to EEM. Case?Our report
presents a term male neonate with minor complications in the immediate postnatal
course, who was discharged at 48 hours of life, but who developed unexpected
respiratory distress, followed by cardiac arrest and death at 3 days of life. One
day after discharge, the infant developed respiratory distress and cool skin, and
then developed cardiac arrest at the pediatrician's office, undergoing
resuscitation with intravenous fluid, cardiopulmonary resuscitation, epinephrine,
atropine, and failed intubation. Autopsy revealed EEM, an inflammatory
infiltrative process involving the endomyocardium. Pathology?Pathogenesis
involves three stages: (1) myocarditis with an acute eosinophilic inflammatory
infiltrate followed by (2) myocyte necrosis and eventually (3) fibrosis in the
final stage of the disease. Discussion?The cause of death was acute cardiac
failure due to intense eosinophilic infiltration and degranulation with early
subendocardial myocyte necrosis but before development of extensive myocyte
necrosis. This case appears to be the youngest patient reported with EEM.