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一名青少年多次接种疫苗后发生急性心肌心包炎:病例报告及文献综述

Acute myopericarditis after multiple vaccinations in an adolescent: case report and review of the literature.

作者信息

Thanjan Maria T, Ramaswamy Prema, Lai Wyman W, Lytrivi Irene D

机构信息

Department of Pediatric Cardiology, Mount Sinai Medical Center, New York, New York, USA.

出版信息

Pediatrics. 2007 Jun;119(6):e1400-3. doi: 10.1542/peds.2006-2605. Epub 2007 May 21.

Abstract

We report a case of postvaccination acute myopericarditis in an adolescent. The patient presented with acute chest pain, diffuse ST-segment elevation, and elevated cardiac enzyme levels. Cardiac MRI was consistent with acute myocarditis. He recovered within a few days with nonsteroidal antiinflammatory treatment and remains clinically stable, with improvement of MRI findings at the 10-week follow-up. Postvaccination cases of myopericarditis reported in the pediatric literature are also reviewed.

摘要

我们报告了一例青少年接种疫苗后发生急性心肌心包炎的病例。该患者表现为急性胸痛、广泛的ST段抬高以及心肌酶水平升高。心脏磁共振成像与急性心肌炎相符。经非甾体类抗炎治疗,他在数天内康复,临床状况保持稳定,在10周随访时心脏磁共振成像结果有所改善。我们还对儿科文献中报道的接种疫苗后心肌心包炎病例进行了综述。

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