结核性心肌炎的模式与临床表现：病例系统评价
Patterns and clinical manifestations of tuberculous myocarditis: a systematic review of cases.
作者信息
Michira Brian Nyasani, Alkizim Faraj Omar, Matheka Duncan Mwangangi
机构信息
School of Medicine, University of Nairobi, Nairobi 00100, Kenya.
School of Medicine, University of Nairobi, Nairobi 00100, Kenya ; Department of Medical Physiology, University of Nairobi, Nairobi 00100, Kenya.
出版信息
Pan Afr Med J. 2015 Jun 12;21:118. doi: 10.11604/pamj.2015.21.118.4282. eCollection 2015.
Abstract
Tuberculosis is a rare cause of myocarditis. It is however associated with a high mortality when it occurs and is often diagnosed at post-mortem. Tuberculous myocarditis prevalence in males is twice that in females. Most of the reported cases of tuberculous myocarditis are predominantly in immunocompetent patients. Out of the reported fatalities (sudden cardiac deaths), eighty one percent (81%) occur in the 'young' patients (below 45years). Antituberculosis drug therapy does not appear to offer mortality benefit against sudden cardiac deaths.
摘要
结核病是心肌炎的罕见病因。然而，当其发生时，死亡率很高，且往往在尸检时才被诊断出来。男性结核性心肌炎的患病率是女性的两倍。大多数已报道的结核性心肌炎病例主要发生在免疫功能正常的患者中。在已报道的死亡病例（心源性猝死）中，81%发生在“年轻”患者（45岁以下）。抗结核药物治疗似乎对心源性猝死没有降低死亡率的益处。
相似文献
1
Patterns and clinical manifestations of tuberculous myocarditis: a systematic review of cases.结核性心肌炎的模式与临床表现：病例系统评价
Pan Afr Med J. 2015 Jun 12;21:118. doi: 10.11604/pamj.2015.21.118.4282. eCollection 2015.
3
Sports-Related Sudden Cardiac Death Attributable to Myocarditis: A Systematic Review and Meta-analysis.运动相关性心肌炎致心源性猝死的系统评价和荟萃分析。
Can J Cardiol. 2022 Nov;38(11):1684-1692. doi: 10.1016/j.cjca.2022.07.006. Epub 2022 Jul 16.
4
The Black Book of Psychotropic Dosing and Monitoring.《精神药物剂量与监测黑皮书》
Psychopharmacol Bull. 2024 Jul 8;54(3):8-59.
5
Corticosteroids for managing tuberculous meningitis.用于治疗结核性脑膜炎的皮质类固醇。
Cochrane Database Syst Rev. 2016 Apr 28;4(4):CD002244. doi: 10.1002/14651858.CD002244.pub4.
6
Sex as a prognostic factor for mortality in adults with acute symptomatic pulmonary embolism.性别作为急性症状性肺栓塞成年患者死亡率的一个预后因素。
Cochrane Database Syst Rev. 2025 Mar 20;3(3):CD013835. doi: 10.1002/14651858.CD013835.pub2.
7
Incidence, outcomes and management of spontaneous haemoperitoneum in pregnancy: a UK population-based study.妊娠自发性腹腔积血的发病率、结局及管理：一项基于英国人群的研究。
NIHR Open Res. 2025 Jun 6;5:40. doi: 10.3310/nihropenres.13960.2. eCollection 2025.
8
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.系统性药理学治疗慢性斑块状银屑病：网络荟萃分析。
Cochrane Database Syst Rev. 2021 Apr 19;4(4):CD011535. doi: 10.1002/14651858.CD011535.pub4.
9
Herbal medicines for viral myocarditis.用于治疗病毒性心肌炎的草药
Cochrane Database Syst Rev. 2013 Aug 28(8):CD003711. doi: 10.1002/14651858.CD003711.pub5.
10
The effectiveness and cost-effectiveness of carmustine implants and temozolomide for the treatment of newly diagnosed high-grade glioma: a systematic review and economic evaluation.卡莫司汀植入剂与替莫唑胺治疗新诊断的高级别胶质瘤的有效性和成本效益：一项系统评价与经济学评估
Health Technol Assess. 2007 Nov;11(45):iii-iv, ix-221. doi: 10.3310/hta11450.
引用本文的文献
1
Rare Coexistence of Cardiac Tuberculosis: Effusive-Constrictive Pericarditis With Right Atrial Tuberculoma and Right Atrial Myocarditis in an Immunocompetent Patient With Disseminated Tuberculosis.心脏结核的罕见共存情况：一名免疫功能正常的播散性结核患者出现渗出性缩窄性心包炎合并右心房结核瘤及右心房心肌炎
Cureus. 2025 May 14;17(5):e84119. doi: 10.7759/cureus.84119. eCollection 2025 May.
2
Pulmonary tuberculosis presenting with tubercular myocarditis and shock in an adolescent child.一名青少年儿童患肺结核并伴有结核性心肌炎和休克。
J Family Med Prim Care. 2024 Dec;13(12):5924-5926. doi: 10.4103/jfmpc.jfmpc_548_24. Epub 2024 Dec 9.
3
Imaging and Circulating Biomarker-Defined Cardiac Pathology in Pulmonary Tuberculosis: A Systematic Review.影像学与循环生物标志物在肺结核心脏病变中的应用：一项系统综述。
Glob Heart. 2024 Nov 8;19(1):84. doi: 10.5334/gh.1369. eCollection 2024.
4
Novel Treatment for Pre-XDR Tuberculosis Linked to a Lethal Case of Acute Myocarditis.与致命性急性心肌炎病例相关的广泛耐药前结核病的新型治疗方法
Diagnostics (Basel). 2024 Sep 26;14(19):2139. doi: 10.3390/diagnostics14192139.
5
Tuberculosis case fatality is higher in male than female patients in Europe: a systematic review and meta-analysis.欧洲男性结核病患者的病死率高于女性：系统评价和荟萃分析。
Infection. 2024 Oct;52(5):1775-1786. doi: 10.1007/s15010-024-02206-z. Epub 2024 Mar 23.
6
The inflammatory spectrum of cardiomyopathies.心肌病的炎症谱
Front Cardiovasc Med. 2024 Feb 23;11:1251780. doi: 10.3389/fcvm.2024.1251780. eCollection 2024.
7
Cardiac Tuberculosis: A Case Series from Ethiopia, Italy, and Uganda and a Literature Review.《心脏结核病：来自埃塞俄比亚、意大利和乌干达的病例系列及文献复习》
Am J Trop Med Hyg. 2024 Feb 27;110(4):795-804. doi: 10.4269/ajtmh.23-0505. Print 2024 Apr 3.
8
A rare case of tuberculous myocarditis: A diagnostic challenge in a tuberculosis-endemic country.一例罕见的结核性心肌炎：结核病流行国家面临的诊断挑战。
Clin Case Rep. 2023 Nov 16;11(11):e8224. doi: 10.1002/ccr3.8224. eCollection 2023 Nov.
9
Myocarditis with concomitant tuberculosis infection presenting with solitary ventricular tachycardia: a case report.合并肺结核感染并表现为单形性室性心动过速的心肌炎：一例报告
Eur Heart J Case Rep. 2023 Sep 1;7(10):ytad432. doi: 10.1093/ehjcr/ytad432. eCollection 2023 Oct.
10
Cardiac Tuberculoma Presenting as Sudden Cardiac Death in an Immunocompetent Young Man: A Case Report and Literature Review.免疫功能正常的年轻男性中以心脏性猝死为表现的心脏结核瘤：一例报告及文献综述
Case Rep Cardiol. 2023 Oct 4;2023:2207204. doi: 10.1155/2023/2207204. eCollection 2023.
本文引用的文献
1
Tuberculous myopericarditis: a rare presentation in an immunocompetent host.结核性心肌心包炎：免疫功能正常宿主中的罕见表现。
BMJ Case Rep. 2013 Mar 1;2013:bcr2012007749. doi: 10.1136/bcr-2012-007749.
2
Diffuse infiltrative cardiac tuberculosis.弥漫性浸润性心脏结核
Ann Pediatr Cardiol. 2011 Jan;4(1):87-9. doi: 10.4103/0974-2069.79635.
3
[Tubercular myocarditis: two case reports and review of the literature].[结核性心肌炎：两例病例报告及文献综述]
Ann Cardiol Angeiol (Paris). 2011 Apr;60(2):105-8. doi: 10.1016/j.ancard.2010.12.029. Epub 2011 Jan 19.
4
Likely tuberculous myocarditis mimicking an acute coronary syndrome.
Intern Med. 2008;47(19):1699-701. doi: 10.2169/internalmedicine.47.1062. Epub 2008 Oct 1.
5
Sudden death in tuberculous myocarditis.结核性心肌炎猝死
Cardiovasc Pathol. 2009 Jul-Aug;18(4):247-8. doi: 10.1016/j.carpath.2007.12.016. Epub 2008 Feb 20.
6
Tubercular myocarditis presenting with ventricular tachycardia.以室性心动过速为表现的结核性心肌炎。
Nat Clin Pract Cardiovasc Med. 2008 Mar;5(3):169-74. doi: 10.1038/ncpcardio1111. Epub 2008 Jan 22.
7
Right atrial tuberculoma: computed tomography and magnetic resonance imaging.
J Thorac Cardiovasc Surg. 2007 Mar;133(3):808. doi: 10.1016/j.jtcvs.2006.10.047.
8
TB-related sudden death (TBRSD) due to myocarditis complicating miliary TB: a case report and review of the literature.
Am J Forensic Med Pathol. 2006 Dec;27(4):335-6. doi: 10.1097/01.paf.0000233633.16185.32.
9
Sudden death from tubercular myocarditis.
J Forensic Sci. 2006 May;51(3):667-9. doi: 10.1111/j.1556-4029.2006.00117.x.
10
Tuberculous dilated cardiomyopathy: an under-recognized entity?结核性扩张型心肌病：一种未被充分认识的疾病？
BMC Infect Dis. 2005 Apr 27;5:29. doi: 10.1186/1471-2334-5-29.
Zotero 插件