心脏磁共振成像对一名患莱姆病的16岁女性的心肌炎进行特征描述。

Cardiac Magnetic Resonance Characterizes Myocarditis in a 16-Year-Old Female With Lyme Disease.

作者信息

Avitabile Catherine M, Harris Matthew A, Chowdhury Devyani

机构信息

Division of Cardiology, St Christopher's Hospital for Children, Philadelphia, PA, USA Division of Cardiology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA

Division of Cardiology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA Departments of Pediatrics and Radiology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.

出版信息

World J Pediatr Congenit Heart Surg. 2016 May;7(3):394-6. doi: 10.1177/2150135115593134. Epub 2015 Dec 23.

DOI:10.1177/2150135115593134

PMID:26701623

Abstract

Myocarditis may occur during early disseminated Lyme disease. A 16-year-old girl with serologic evidence of Borrelia burgdorferi infection and transient first-degree atrioventricular block underwent cardiac magnetic resonance imaging, which demonstrated myocardial hyperemia, edema, and delayed gadolinium enhancement. We discuss the use of T1- and T2-weighted dark blood sequences in addition to inversion recovery delayed enhancement imaging to support the diagnosis of Lyme myocarditis.

摘要

心肌炎可能发生在早期播散性莱姆病期间。一名16岁女孩有伯氏疏螺旋体感染的血清学证据且出现短暂一度房室传导阻滞，接受了心脏磁共振成像检查，结果显示心肌充血、水肿以及钆延迟强化。我们除了讨论使用反转恢复延迟强化成像外，还讨论了T1加权和T2加权黑血序列在支持莱姆心肌炎诊断中的应用。