A 23-year-old migrant from Zimbabwe presented with a 10 day history of flu-like symptoms, myalgias, chest pain, palpitations, Troponin I of 1.8 mcg/L (normal <0.040) and peripheral eosinophilia of 3.42 x 109/L (normal <0.6 x109/L ). He had been diagnosed with anti-neutrophil cytoplasmic antibody (ANCA) negative eosinophilic granulomatosis with polyangiitis (EGPA) with cardiac involvement 2 years prior, in 2015.