Beaudet B, Sachs R N, Fischbein L, Robineau M, Kemeny J L, Amouroux J, Lanfranchi J
Service de médecine interne, cardiologie, Hôpital Avicenne, Bobigny.
Arch Mal Coeur Vaiss. 1988 Apr;81(4):533-5.
A case of acquired immunodeficiency syndrome associated with myocarditis is reported. The myocarditis was peculiar in that it heralded the syndrome and followed a subacute course. It was most probably of infectious origin, although no pathogen has positively been identified; it may have been caused by a cytomegalovirus or even by the human immunodeficiency virus itself on a background of genetic predisposition. This case shows that while cardiologists are concerned with cardiac disorders occurring during AIDS, they must also consider the possibility of AIDS when confronted with a myocarditis.
报告了一例与心肌炎相关的获得性免疫缺陷综合征病例。该心肌炎的独特之处在于它是该综合征的先兆,且病程呈亚急性。虽然尚未明确鉴定出病原体,但极有可能是感染性起源;它可能是由巨细胞病毒引起的,甚至可能是在遗传易感性背景下由人类免疫缺陷病毒本身引起的。该病例表明,心脏病专家在关注艾滋病期间发生的心脏疾病时,在面对心肌炎时也必须考虑到艾滋病的可能性。