Byck P L, Listinsky C M, Cooper T B, Papapietro S E
Department of Internal Medicine, Carraway Methodist Medical Center, Birmingham, AL 35234.
Arch Pathol Lab Med. 1990 May;114(5):526-7.
We describe a 55-year-old man who presented with acute left ventricular dysfunction and congestive heart failure caused by rheumatic carditis. The diagnosis of rheumatic carditis was established by percutaneous endomyocardial biopsy. Since many physicians may not be familiar with some of the clinical and histopathologic features of rheumatic carditis, we submit this report as a reminder that the disease has not disappeared, should be considered in the differential diagnosis of acute heart failure, and can be diagnosed by endomyocardial biopsy.
我们描述了一名55岁男性，他因风湿性心炎出现急性左心室功能障碍和充血性心力衰竭。风湿性心炎的诊断通过经皮心内膜心肌活检得以确立。鉴于许多医生可能并不熟悉风湿性心炎的某些临床和组织病理学特征，我们提交本报告以提醒大家，这种疾病并未消失，在急性心力衰竭的鉴别诊断中应予以考虑，并且可通过心内膜心肌活检进行诊断。
