Eosinophilic granulomatous myocarditis in a heifer. Figure 1. Myriad
1–3-mm, irregular, yellow-green coalescing foci disseminated throughout the
myocardium are visible from the epicardial surface. Figure 2.
Transmural section of the left ventricular free wall with granulomas and white
streaks throughout the myocardium. Figure 3. A myocardial granuloma
composed of a well-demarcated central area of necrosis surrounded by dense
interstitial mixed inflammatory cell infiltrates and fibrosis. H&E.
Figure 4. Abundant eosinophils, fewer lymphocytes, and
macrophages infiltrate the myocardial interstitium, which is also expanded by
fibrosis. Adjacent cardiomyocytes contain intact intrasarcoplasmic, thin-walled,
basophilic Sarcocystis cruzi cysts. H&E.