SARCOID CARDIOMYOPATHY PRECIPITATED BY PREGNANCY WITH COCAINE COMPLICATIONS

We report the case of a 27-year-old previously healthy multiparous bla ck woman who developed congestive heart failure 5 days postpartum. It was initially diagnosed and treated as idiopathic peripartum cardiomyo pathy. Five weeks later, pulmonary sarcoidosis was diagnosed by transb ronchial biopsy specimen, and steroid therapy was begun. An endomyocar dial biopsy specimen 1 month later indicated cardiac sarcoidosis. She responded well to steroid therapy; however, 16 months later, she had a cardiac arrest and died. Autopsy confirmed the diagnosis of cardiac s arcoidosis.