Karjalainen J
Central Military Hospital, Helsinki, Finland.
Chest. 1989 Feb;95(2):359-63. doi: 10.1378/chest.95.2.359.
Two young men with streptococcal tonsillitis had acute myopericarditis mimicking myocardial infarction. Subsequently, 264 consecutive army conscripts hospitalized with a fever and sore throat underwent throat cultures. Group A streptococci were found in 84 patients. When these patients were systematically screened by serial electrocardiography for myocarditis, one case of probable asymptomatic myocarditis was diagnosed. None had signs of acute rheumatic fever. All three patients received penicillin therapy when the signs of myocarditis appeared. Their recovery was good.
两名患有链球菌性扁桃体炎的年轻男性出现了类似心肌梗死的急性心肌心包炎。随后，对264名因发热和咽痛住院的连续应征入伍士兵进行了咽拭子培养。在84名患者中发现了A组链球菌。当通过连续心电图对这些患者进行系统性心肌炎筛查时，诊断出1例可能的无症状心肌炎病例。所有患者均无急性风湿热体征。所有3例患者在出现心肌炎体征时均接受了青霉素治疗。他们恢复良好。
