Salarda Erika M, Ocazionez-Trujillo Daniel, Prakash Siddharth K
Department of Internal Medicine, McGovern Medical School, University of Texas Health Science Center at Houston, 6431 Fannin Street, MSB 6.106, Houston, TX 77030, USA.
Eur Heart J Case Rep. 2021 Jan 4;5(2):ytaa535. doi: 10.1093/ehjcr/ytaa535. eCollection 2021 Feb.
Inflammation of the pericardium, or pericarditis, is a frequent cause of acute chest pain in young patients. Pericarditis is typically associated with viral infections, but other potential causes may have distinct prognostic and therapeutic implications.
A 26-year-old man presented with typical signs and symptoms of acute pericarditis. However, imaging disclosed an anterior mediastinal mass that compressed the right ventricular outflow tract. The coarse outflow murmur convincingly mimicked a pericardial friction rub on auscultation.
Clinicians should be aware of alternative aetiologies to pericarditis in patients who present with prolonged or refractory symptoms.
心包炎是年轻患者急性胸痛的常见原因。心包炎通常与病毒感染有关，但其他潜在病因可能具有不同的预后和治疗意义。
一名26岁男性出现急性心包炎的典型体征和症状。然而，影像学检查发现前纵隔肿块压迫右心室流出道。粗糙的流出道杂音在听诊时令人信服地模仿了心包摩擦音。
临床医生应意识到，对于出现症状持续或难治的患者，心包炎可能存在其他病因。
