Karjalainen J
Central Military Hospital, Helsinki, Finland.
Eur Heart J. 1990 Oct;11(10):960-3. doi: 10.1093/oxfordjournals.eurheartj.a059620.
A 20-year-old man had a fever and cough due to Mycoplasma pneumoniae pneumonia. He had no heart symptoms, but auscultation revealed an exceptionally loud third heart sound, suggesting cardiac involvement. Marked myocardial enzyme release, serial electrocardiographic ST-T changes, and transient increase in interventricular thickness and inferior wall hypokinesis at echocardiography supported the diagnosis of acute infectious myocarditis. Recovery was quick. This case shows that acute myocarditis with significant myocardial injury may pass without any subjective heart symptoms.
一名20岁男性因肺炎支原体肺炎出现发热和咳嗽。他没有心脏症状，但听诊发现第三心音异常响亮，提示心脏受累。显著的心肌酶释放、系列心电图ST-T改变以及超声心动图显示室间隔厚度短暂增加和下壁运动减弱，支持急性感染性心肌炎的诊断。恢复迅速。该病例表明，伴有显著心肌损伤的急性心肌炎可能在没有任何主观心脏症状的情况下痊愈。
