No Loeffing Matter: The Dilemma of Loeffler’s Endocarditis

A 69 year-old woman presented to the emergency department with one week of progressively worsening shortness of breath. The dyspnea worsened with exertion and was alleviated with rest. Associated symptoms included orthopnea, lower extremity edema, and weight gain. Her medical history consisted of emphysema and hypothyroidism with no prior cardiac history. Her home medications were levothyroxine, an albuterol rescue inhaler, and tiotropium. She had no past surgeries and no family history of cardiac disease.