原位心脏移植受者迟发性巨细胞病毒性心肌炎1例；病例报告及文献复习
A case of late-onset cytomegalovirus myocarditis in an orthotopic heart transplant recipient; case report and review of the literature.
作者信息
Mylvaganam Ruben, Glaser Allison, Moss Noah, Rana Meenakshi
机构信息
Division of Internal Medicine, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029.
Division of Infectious Diseases, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place 1090, New York, NY 10029.
出版信息
Diagn Microbiol Infect Dis. 2018 Jun;91(2):153-155. doi: 10.1016/j.diagmicrobio.2018.01.016. Epub 2018 Jan 31.
We describe a male patient who presents 2 years posttransplant with cough and dyspnea. A negative pulmonary workup led to an endomyocardial biopsy and the diagnosis of cytomegalovirus (CMV) myocarditis. The patient was treated with ganciclovir and intravenous immunoglobulin. This illustrates a very late presentation of posttransplant CMV myocarditis and the usefulness of myocardial biopsy in diagnosis of CMV carditis.
我们描述了一名男性患者，他在移植后2年出现咳嗽和呼吸困难。肺部检查结果为阴性，随后进行了心内膜心肌活检，诊断为巨细胞病毒（CMV）心肌炎。该患者接受了更昔洛韦和静脉注射免疫球蛋白治疗。这例病例说明了移植后CMV心肌炎非常晚期的表现以及心肌活检在CMV心肌炎诊断中的作用。
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