Multimodality imaging of Churg–Strauss myocarditis

A 26-year-old man presented with a 1-month history of hemoptysis, fever and chest pain. Investigations revealed a peripheral blood eosinophilia along with focal areas of lung consolidation on radiographic imaging. Subsequent echocardiography confirmed cardiac involvement, with a reduction in systolic function and a speckled appearance of the myocardium. The patient was diagnosed as having eosinophilic granulomatosis with polyangiitis and was treated with intravenous cyclophosphamide and corticosteroids. He made an excellent recovery and was subsequently discharged 4 weeks later. We present the radiographic and cardiac imaging findings of this condition along with a review of the value on cardiac screening in this patient population. L Heart Metab; 2014;62:27–30