地中海斑疹热中的心肌炎：一例病例报告及文献综述
Myocarditis in Mediterranean spotted fever: a case report and a review of the literature.
作者信息
Colomba Claudia, Siracusa Lucia, Trizzino Marcello, Gioè Claudia, Giammanco Anna, Cascio Antonio
机构信息
Dipartimento di Scienze per la promozione della salute e materno-infantile, Università di Palermo , Italy.
出版信息
JMM Case Rep. 2016 Aug 30;3(4):e005039. doi: 10.1099/jmmcr.0.005039. eCollection 2016 Aug.
INTRODUCTION
Mediterranean spotted fever (MSF) is a tick-borne acute febrile disease caused by . Most cases follow a benign course, with a case fatality rate of 3-7 % among hospitalized patients. Complications are described mainly in adult patients and include hepatic, renal, neurological and cardiac impairment. Among cardiac complications, pericarditis, myocarditis and heart rhythm disorders are uncommon complications in MSF and only a few cases have been reported in the literature.
CASE PRESENTATION
We describe a new case of acute myocarditis complicating MSF in an immunocompetent adult patient without risk factors for severe MSF.
CONCLUSION
Myocarditis is an uncommon but severe complication of MSF. Clinicians should be aware of a possible cardiac involvement in patients with MSF. Close monitoring and an aggressive approach are essential to reduce mortality rates of MSF.
引言
地中海斑疹热（MSF）是一种由蜱传播的急性发热性疾病。大多数病例病程良性，住院患者的病死率为3%-7%。并发症主要见于成年患者，包括肝、肾、神经和心脏损害。在心脏并发症中，心包炎、心肌炎和心律紊乱在MSF中是不常见的并发症，文献中仅报道了少数病例。
病例报告
我们描述了一例免疫功能正常的成年患者，无严重MSF危险因素，因MSF并发急性心肌炎的新病例。
结论
心肌炎是MSF一种不常见但严重的并发症。临床医生应意识到MSF患者可能存在心脏受累情况。密切监测和积极治疗对于降低MSF的死亡率至关重要。
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