Alhogbani Tariq
Dr. Tariq Alhogbani, Department of Cardiology,, King Khalid University Hospital,, King Saud University,, Riyadh 11352 Saudi Arabia,, T: (+966) 505-245494,
Ann Saudi Med. 2016 Jan-Feb;36(1):78-80. doi: 10.5144/0256-4947.2016.78.
The novel Middle east respiratory syndrome coronavirus (MeRS-CoV) has been identified as a cause of pneumonia; however, it has not been reported as a cause of acute myocarditis. A 60-year-old man presented with pneumonia and congestive heart failure. On the first day of admission, he was found to have an elevated troponin-l level and severe global left ventricular systolic dysfunction on echo-cardiography. The serum creatinine level was found mildly elevated. Chest radiography revealed in the lower lung fields accentuated bronchovascular lung markings and multiple small patchy opacities. Laboratory tests were negative for viruses known to cause myocarditis. Sputum sample was positive for MeRS-CoV. Cardiovascular magnetic resonance revealed evidence of acute myocarditis. the patient had all criteria specified by the international Consensus Group on CMR in Myocarditis that make a clinical suspicion for acute myocarditis. this was the first case that demonstrated that MeRS-CoV may cause acute myocarditis and acute-onset heart failure.
新型中东呼吸综合征冠状病毒（MERS-CoV）已被确认为肺炎的病因之一；然而，尚无其作为急性心肌炎病因的报道。一名60岁男性因肺炎和充血性心力衰竭入院。入院第一天，他的肌钙蛋白I水平升高，超声心动图显示严重的左心室整体收缩功能障碍。血清肌酐水平轻度升高。胸部X线检查显示下肺野支气管血管纹理增粗，并有多个小片状模糊影。已知可引起心肌炎的病毒的实验室检测结果为阴性。痰液样本检测出MERS-CoV呈阳性。心血管磁共振显示有急性心肌炎的证据。该患者符合国际心肌炎心血管磁共振共识小组指定的所有急性心肌炎临床疑似标准。这是首例证明MERS-CoV可能导致急性心肌炎和急性心力衰竭的病例。
