儿童致死性乙型流感心肌炎：文献复习及儿科年龄组分析
Lethal influenza B myocarditis in a child and review of the literature for pediatric age groups.
机构信息
Hospital for Children and Adolescents, University of Leipzig, Liebigstrasse 20a, 04103, Leipzig, Germany.
出版信息
Infection. 2010 Jun;38(3):231-5. doi: 10.1007/s15010-010-0013-4. Epub 2010 Apr 1.
CASE PRESENTATION
We report on the case of a 5 year-old girl who developed fulminant myocarditis due to acute infection with influenza virus type B. Cardiac arrest occurred suddenly, resuscitation efforts were not successful, and the patient died of congestive heart failure 24 h after admission to the hospital.
DIAGNOSIS
Lymphocytic infiltration of cardiac tissues and virologic studies confirmed the suspected diagnosis of acute viral myocarditis.
CONCLUSION
In conclusion, influenza virus type B is one of the infective agents that can cause rapid and fatal myocarditis in previously healthy children. Early cardiac support may be the only option to prevent fatal outcome.
病例介绍
我们报告了一例 5 岁女孩，因乙型流感病毒急性感染导致暴发性心肌炎。心搏骤停突然发生，复苏努力未成功，患者入院后 24 小时死于充血性心力衰竭。
诊断
心脏组织的淋巴细胞浸润和病毒学研究证实了急性病毒性心肌炎的疑似诊断。
结论
总之，乙型流感病毒是可导致先前健康的儿童发生快速和致命心肌炎的病原体之一。早期心脏支持可能是预防致命结局的唯一选择。
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