endomyocardial fibrosis and Loeffler's endocarditis

Last reviewed 01/2018

  • endomyocardial fibrosis occurs in the tropics
  • endomyocardial fibrosis may occur in association with Loeffler's endocarditis in temperate zones.
  • in Loeffler's disease there are high eosinophil counts or 15 x 10^9/dl or more.
  • cardiac damage is greater in Loeffler's endocarditis and has been attributed to the liberation of the cationic protein from the eosinophilic granule. Three processes occur - intracavitary thrombosis, endocardial necrosis, and eventual fibrosis - which may overlap.