A 67-year-old male from Thailand was admitted with a
history of severe crushing central chest pain. His ECG showed ST elevation in
the anterior chest leads and he was treated with tPA, which resulted in
resolution of the ECG changes.
Over the next few days he had several episodes of
pulmonary oedema, his blood pressure began to rise and he was noted to have a
petechial rash over his feet.
His renal function began to deteriorate and he was
ultimately commenced on haemodialysis. His blood tests showed an elevated
eosinophil count of 1.13◊109/l (normal range <0.40)
In this patient underlying condition is:
Cholesterol embolisation syndrome
Tropical pulmonary eosinophilia