Eosinophilic Granulomatosis With Polyangiitis (Churg-Strauss Syndrome) Mimicking a Stroke and Acute Coronary Syndrome: A Case Report

Cureus. 2020 Jul 3;12(7):e8984. doi: 10.7759/cureus.8984.

Abstract

Churg-Strauss syndrome (CSS) is a rare disease of multiple organ involvement attributed to asthma, eosinophilia, and vasculitis as a diagnostic criterion. Here we report a case of CSS presenting with left leg weakness and chest pain with a diagnosis of myocarditis and neuropathy. Eosinophilia, history of asthma, peripheral neurological damage led to the diagnosis of CSS. Transthoracic echo showed a full-sized segmental wall motion abnormality with normal CT angiography. He responded well to steroid therapy.

Keywords: acute coronary syndrome; churg-strauss syndrome; eosinophilia; eosinophilic granulomatosis with polyangiitis; hypereosinophilia; hypereosinophilia syndrome; myocarditis; rituximab.

Publication types

  • Case Reports