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乙型流感感染后需要体外膜肺氧合支持的心肌炎:一例报告及文献综述

Myocarditis requiring extracorporeal membrane oxygenation support following Influenza B infection: a case report and literature review.

作者信息

Marchetti Luca, Gandolfo Claudia, Maglioni Enivarco, Contorni Martina, Arena Fabio, Cusi Maria Grazia

机构信息

Cardiothoracic Anesthesia and Intensive Care Unit, Siena University Hospital, Siena, Italy.

Microbiology Unit, Department of Medical Biotechnologies, University of Siena, Le Scotte Hospital, Siena, Italy.

出版信息

New Microbiol. 2019 Jan;42(1):61-63. Epub 2019 Jan 21.

Abstract

Seasonal influenza A (IA) and B (IB) viruses co-circulate every year, causing respiratory tract infections in individuals of all ages. Recently, the association between laboratory-confirmed influenza infection and acute myocardial infarction has been clearly demonstrated. However, most of the reported cases of fulminant myocarditis had been associated with influenza virus type A infection. Here we report the case of a 44 y/o man who experienced myocarditis with cardiogenic shock [requiring percutaneous extracorporeal membrane oxygenation (ECMO) support], following influenza B virus infection, which circulated widely in Italy in 2017-18.

摘要

季节性甲型(IA)和乙型(IB)流感病毒每年都会同时传播,可导致各年龄段人群发生呼吸道感染。最近,实验室确诊的流感感染与急性心肌梗死之间的关联已得到明确证实。然而,大多数暴发性心肌炎报告病例都与甲型流感病毒感染有关。在此,我们报告一例44岁男性病例,该患者在2017 - 18年在意大利广泛传播的乙型流感病毒感染后,发生了伴有心源性休克的心肌炎[需要经皮体外膜肺氧合(ECMO)支持]。

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