Department of Medicine, Centre Hospitalier de Mayotte, Mayotte Island, France.
Am J Trop Med Hyg. 2010 Mar;82(3):365-7. doi: 10.4269/ajtmh.2010.09-0084.
We report two cases of myocarditis complicating acute schistosomiasis in returning travelers. Treatment with corticosteroids led to full recovery in both cases. Although the pathophysiology of this complication remains unclear, we recommend treating such patients with corticosteroids rather than praziquantel, which can be associated with clinical deterioration.
我们报告了两例急性血吸虫病旅行归来后并发心肌炎的病例。两例患者均经皮质类固醇治疗后完全康复。尽管这种并发症的病理生理学机制仍不清楚,但我们建议对这类患者使用皮质类固醇治疗,而不是使用吡喹酮,因为后者可能与临床恶化有关。