Abstract

DURLACH, Martín et al. Hepatitis hipóxica en paciente con endomiocardiofibrosis. Medicina (B. Aires) [online]. 2019, vol.79, n.4, pp.284-286. ISSN 0025-7680.

Endomyocardial fibrosis is a restrictive cardiomyopathy with high morbidity and mortality rates, prevalent in the sub-Saharan Africa region but infrequent in our population. It has a close relation with blood hypereosinophilia. Hypoxic hepatitis is frequently observed in intensive care units and its diagnosis is clinical. It shows a typical enzyme pattern with high mortality too. There are multiple mechanisms responsible for this condition, such as ischemia, passive congestion and dysoxia. We described the case of a 35 year-old cocaine addict woman diagnosed with endomyocardial fibrosis and hypereosinophilic syndrome who developed cardiogenic shock with hypoxic hepatitis. The patient evolved favorably with the appropriate treatment.

Keywords : Restrictive cardiomyopathy; Hepatitis; Cocaine.

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