Coronary artery dissection and myocarditis caused by eosinophilic granulomatosis with polyangiitis (EGPA): A case report

Authors

Vidhyalakshmy Vivek, Advocate Aurora Health
Sumeet Yadav, Mayo Clinic Health System, Mankato, MN 56001, USA.
Hariprasad R. Korsapati, Mayo Clinic Health System, Mankato, MN 56001, USA.
Mikael Mir, University of Minnesota Medical School, Minneapolis, MN 55455, USA.
Shika Jain, MVJ Medical College and Research Hospital, Karnataka 562114, India.
Abbas B. Jama, Mayo Clinic Health System, Mankato, MN 56001, USA.
Setu Trivedi, Advocate Aurora Health
Qiping Xu, Mayo Clinic Health System, Mankato, MN 56001, USA.
Namratha S. Meda, MedStar Washington Hospital Center,110 Irving St., NW, Washington, D.C., 20010, USA.
Syed Ali, Advocate Aurora HealthFollow
Anwar Khedr, Bronx Care Health System, Bronx, NY 10457, USA.
Esraa Hassan, Mayo Clinic Health System, Mankato, MN 56001, USA.
Noura Attallah, Mayo Clinic Health System, Mankato, MN 56001, USA.
Harsha Patnaik, Lady Hardinge Medical College, New Delhi, 110001, India.
Sri U. Jeevani Obulareddy, University of Arkansas Medical Center, Little Rock, 72205, USA.
Ibtisam Rauf, St. George's University School of Medicine, St. George SW17 0RE, Grenada.
Aishwarya R. Korsapati, University of Buckingham Medical School, Buckingham MK18 1EG, UK.
Salim Surani, Texas A&M University, College Station, TX 79016, USA.
Syed A. Khan, Mayo Clinic Health System, Mankato, MN 56001, USA.
Nitesh K. Jain, Mayo Clinic Health System, Mankato, MN 56001, USA.
Hasnain Bawaadam, Advocate Aurora HealthFollow

Recommended Citation

Vivek V, Yadav S, Korsapati HR, et al. Coronary Artery Dissection and Myocarditis Caused by Eosinophilic Granulomatosis with Polyangiitis (EGPA): A Case Report. J Community Hosp Intern Med Perspect. 2023;13(5):50-56. Published 2023 Sep 2. doi:10.55729/2000-9666.1219

Abstract

Eosinophilic granulomatosis with polyangiitis (EGPA) also referred to as Churg-Strauss syndrome is a rare vasculitis of the small to medium vessels. We present a rare case of acute coronary artery dissection brought on by EGPA, which generally has a poor prognosis. A 41-year-old male with history of bronchial asthma presented to the emergency room with a 2-week history of dyspnea, cough with clear phlegm, and fever. For the past eight months he had experienced episodes with similar symptoms relieved by steroids. CT chest showed bilateral upper lobe patchy opacities with extensive workup for infectious etiology being negative. He had peripheral eosinophilia with sinusitis. He had acute coronary syndrome and Coronary angiogram showed Right coronary artery dissection. After making a diagnosis of EGPA based on American college of Rheumatology criteria, he was successfully treated with high dose immunosuppression. Coronary artery dissection is a fatal and uncommon complication of EGPA which is usually diagnosed postmortem. Early recognition of this condition ante mortem and aggressive treatment can be lifesaving as demonstrated in our case.

Document Type

Article

PubMed ID

37868681