, Volume 8, Issue 3, pp 313-319
Date: 23 Jun 2012

Churg–Strauss Syndrome with Eosinophilic Myocarditis

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History and Physical Examination

An 85-year-old Chinese woman with a 4-year history of asthma presented with a severe headache for 1 week and substernal chest pain for 1 day.

Seven days prior to presentation, the patient was seen by her primary care physician for evaluation of a new-onset severe headache; she was prescribed an unknown dose of ibuprofen, which she took for 2 days before developing facial swelling and hives. The facial swelling and rash resolved shortly after discontinuing ibuprofen, but the headache continued. Two days prior to presentation, the patient went to the emergency room because of her headache; a non-contrast head computed tomography (CT) scan was negative and she was discharged without further workup. Two days later, the patient developed substernal chest pain. She returned to the emergency room and was admitted for further evaluation.

On admission, the patient reported frontal and temporal headache without nausea or photosensitivity. She also complained of grad ...