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Ziaie N, Maleh PA, Ramandi MMA, Pourkia R, Latifi K, Mansouri D. Transient left ventricular clot in COVID-19-related myocarditis is associated with hypereosinophilic syndrome: a case report. Int J Cardiovasc Imaging 2021; 37:3279-3283. [PMID: 34160722 PMCID: PMC8220422 DOI: 10.1007/s10554-021-02317-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Accepted: 06/15/2021] [Indexed: 12/23/2022]
Abstract
Frequent clinical presentations have been reported in patients with Coronavirus disease 2019 (COVID-19). It may be associated with multi-organ and cardiovascular involvements such as myocarditis and clot formation. Hypereosinophilic syndrome (HES) is a rare disease diagnosed with idiopathic eosinophilia and organ involvement. Here, we report a patient with COVID-19 who presented with clot formation and myocarditis. One month after discharge, regarding persistent peripheral/bone marrow hypereosinophilia and clot in echocardiography, fluorescent in situ hybridization (FISH) analysis was done that showed FIP1L1-CHIC2 fusion (PDGFRɑ rearrangement) in 18% of scored cells and PDGFRβ rearrangement in 12% of scored cells, which confirmed HES diagnosis. Clot formation may be a late manifestation of COVID-19 or myocarditis due to COVID-19, or the first manifestation of HES that COVID-19 might provoke in this rare syndrome.
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Affiliation(s)
- Naghmeh Ziaie
- Department of Cardiology, Babol University of Medical Sciences, Babol, Iran. .,Clinical Research Development unit of Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
| | - Parviz Amri Maleh
- Department of Anesthesiology, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran
| | | | - Roghayeh Pourkia
- Department of Cardiology, Babol University of Medical Sciences, Babol, Iran.,Clinical Research Development unit of Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran
| | - Kayvan Latifi
- Department of Adult Intensive Care Unit, Ayatollah Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran
| | - Davood Mansouri
- Department of Clinical Immunology and Infectious Diseases, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran. .,The Clinical Tuberculosis and Epidemiology Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran. .,Pediatric Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran. .,Masih Daneshvari Hospital, Darabad Avenue, Shahid Bahonar Roundabout, PO Box: 19575154, Tehran, Iran.
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