空肠弯曲菌性心肌炎：从肠道到心脏的历程。
Campylobacter jejuni myocarditis: A journey from the gut to the heart.
作者信息
Obafemi M Toba, Douglas Homeyra
机构信息
Aintree Cardiac Centre, Aintree University Hospital, Liverpool, UK.
出版信息
SAGE Open Med Case Rep. 2017 Jun 8;5:2050313X17713148. doi: 10.1177/2050313X17713148. eCollection 2017.
Abstract
OBJECTIVES
Campylobacter jejuni is an unusual cause of myocarditis and could easily be missed.
METHODS
We describe a case of a 25 year old man, who presented with 3 day history of vomiting and diarrhoea, followed by chest pain and significant high sensitive troponin rise.
RESULTS
The patient's profuse diarrhoea was accompanied by raised inflammatory markers, electrocardiogram changes and evidence of cardiomyopathy on transthoracic echocardiogram. Various aetiological viral serologies which were tested for came back negative. However, stool culture was positive for the bacteria, Campylobacter jejuni. He was successfully treated with antibiotics and made an uneventful recovery.
CONCLUSIONS
Campylobacter jejuni gastroenteritis has a worldwide prevalence. Therefore, prompt diagnosis and treatment is crucial when this organism is implicated in myocarditis.
摘要
目的
空肠弯曲菌是心肌炎的一种罕见病因，很容易被漏诊。
方法
我们描述了一例25岁男性病例，该患者有3天的呕吐和腹泻病史，随后出现胸痛且高敏肌钙蛋白显著升高。
结果
患者严重腹泻伴有炎症标志物升高、心电图改变以及经胸超声心动图显示的心肌病证据。检测的各种病因性病毒血清学结果均为阴性。然而，粪便培养显示空肠弯曲菌呈阳性。他接受抗生素治疗后成功康复，恢复过程顺利。
结论
空肠弯曲菌性肠胃炎在全球范围内普遍存在。因此，当该病原体与心肌炎有关时，及时诊断和治疗至关重要。
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