一名具有非洲蜱咬热临床和血清学证据的患者出现心脏受累情况。
Cardiac involvement in a patient with clinical and serological evidence of African tick-bite fever.
作者信息
Bellini Cristina, Monti Matteo, Potin Mathieu, Dalle Ave Anne, Bille Jacques, Greub Gilbert
机构信息
Infectious Diseases Unit, University Hospital of Lausanne, Lausanne, Switzerland.
出版信息
BMC Infect Dis. 2005 Oct 20;5:90. doi: 10.1186/1471-2334-5-90.
BACKGROUND
Myocarditis and pericarditis are rare complications of rickettsiosis, usually associated with Rickettsia rickettsii and R. conorii. African tick-bite fever (ATBF) is generally considered as a benign disease and no cases of myocardial involvement due to Rickettsia africae, the agent of ATBF, have yet been described.
CASE PRESENTATION
The patient, that travelled in an endemic area, presented typical inoculation eschars, and a seroconversion against R. africae, was admitted for chest pains and increased cardiac enzymes in the context of an acute myocarditis.
CONCLUSION
Our findings suggest that ATBF, that usually presents a benign course, may be complicated by an acute myocarditis.
背景
心肌炎和心包炎是立克次体病的罕见并发症，通常与立氏立克次体和康氏立克次体有关。非洲蜱咬热（ATBF）一般被认为是一种良性疾病，尚未有因引起ATBF的非洲立克次体导致心肌受累的病例报道。
病例报告
该患者曾前往流行地区，出现典型的接种性焦痂，且血清转化检测显示感染非洲立克次体，因急性心肌炎伴胸痛和心肌酶升高入院。
结论
我们的研究结果表明，通常表现为良性病程的ATBF可能并发急性心肌炎。
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