急性扁桃体炎并发急性心肌心包炎：警惕患扁桃体炎且主诉胸痛的年轻男性患者。
Acute myopericarditis complicating acute tonsillitis: beware the young male patient with tonsillitis complaining of chest pain.
作者信息
Talmon Yoav, Gilbey Peter, Fridman Nancy, Wishniak Alice, Roguin Nathan
机构信息
Department of Otolaryngology-Head and Neck Surgery, Western Galilee Hospital, Nahariya, Israel.
出版信息
Ann Otol Rhinol Laryngol. 2008 Apr;117(4):295-7. doi: 10.1177/000348940811700409.
OBJECTIVES
We describe 11 cases of myopericarditis complicating bacterial tonsillitis.
METHODS
We performed a retrospective study of all cases of myopericarditis treated at one hospital during the years 2005 and 2006.
RESULTS
The patients were all young men. The average latency from the onset of throat pain to the onset of chest pain was 4.6 days. All patients complained of chest pain. The most common electrocardiographic finding was transient ST segment elevations. The levels of cardiac enzymes and troponin were elevated in all cases.
CONCLUSIONS
Otolaryngologists should be aware of this rare entity. Additional studies are indicated to evaluate the exact incidence of myopericarditis associated with acute streptococcal tonsillitis.
目的
我们描述了11例并发细菌性扁桃体炎的心肌心包炎病例。
方法
我们对2005年至2006年期间在一家医院接受治疗的所有心肌心包炎病例进行了回顾性研究。
结果
患者均为青年男性。从咽痛发作到胸痛发作的平均潜伏期为4.6天。所有患者均主诉胸痛。最常见的心电图表现为短暂性ST段抬高。所有病例的心肌酶和肌钙蛋白水平均升高。
结论
耳鼻喉科医生应了解这种罕见疾病。需要进行更多研究以评估与急性链球菌性扁桃体炎相关的心肌心包炎的确切发病率。
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