Roubille François, Roubille Camille, Lattuca Benoît, Gervasoni Richard, Vernhet-Kovacsik Hélène, Leclercq Florence
CHU Arnaud de Villeneuve, Cardiology Department, Montpellier, France.
CHU Saint Eloi, Internal Medicine Department, Montpellier, France.
Cardiol Res. 2012 Aug;3(4):189-191. doi: 10.4021/cr200w. Epub 2012 Jul 20.
Although often considered as "begnin", acute infections in young healthy adults can lead to heart inflammation, including acute myocarditis. We report a rare case of myopericarditis in a young immunocompetent adult, in the context of recent toxoplasmosis infection. Clinical presentation was common acute pericarditis, but with risk biomarkers: high troponin I levels and multiple inflammation-compatible images on MR-scan. Diagnosis of myopericarditis was established. In spite of spontaneous favourable clinical evolution, troponin remained elevated. MR-scan is shown; acute myocarditis in the context of an acute toxoplasmosis infection is discussed.
尽管急性感染在年轻健康成年人中常被认为是“良性的”，但仍可导致心脏炎症，包括急性心肌炎。我们报告了一例年轻免疫功能正常的成年人患心肌心包炎的罕见病例，该病例发生在近期弓形虫感染的背景下。临床表现为常见的急性心包炎，但伴有风险生物标志物：肌钙蛋白I水平升高以及磁共振扫描上多个与炎症相符的影像。心肌心包炎的诊断得以确立。尽管临床症状自发向好演变，但肌钙蛋白水平仍持续升高。展示了磁共振扫描结果，并对急性弓形虫感染背景下的急性心肌炎进行了讨论。
