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一例罕见的结核分枝杆菌性冠状动脉炎和血栓形成导致急性心肌梗死的病例。

An unusual case of mycobacterium tuberculous coronary arteritis and thrombosis resulting in acute myocardial infarction.

作者信息

Chan Shijia

机构信息

Health Sciences Authority, 11 Outram Road, Singapore, 169078, Singapore.

出版信息

Forensic Sci Med Pathol. 2018 Sep;14(3):390-394. doi: 10.1007/s12024-018-0002-y. Epub 2018 Jul 10.

Abstract

Tuberculosis (TB) is a prevalent infection worldwide and an endemic infection in Singapore. The most common presentation is that of pulmonary tuberculosis. Extra pulmonary tuberculosis usually involves the lymph nodes, pleura, central nervous system, or abdominal cavity. Involvement of the heart is rare (0.14-2% of TB cases), and when it is involved, it tends to be in the pericardium or myocardium. Here, a rare case of sudden death due to tuberculous coronary arteritis with tuberculous coronary thrombosis resulting in acute myocardial infarction is presented.

摘要

结核病(TB)是一种在全球范围内流行的感染性疾病,在新加坡属于地方性感染病。最常见的表现形式是肺结核。肺外结核通常累及淋巴结、胸膜、中枢神经系统或腹腔。心脏受累较为罕见(占结核病病例的0.14 - 2%),一旦受累,往往累及心包或心肌。在此,报告了一例罕见的因结核性冠状动脉炎伴结核性冠状动脉血栓形成导致急性心肌梗死而猝死的病例。

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