Persaud Shelley, Singh Bir, Angelo Debra
Internal Medicine, HCA Medical Center of Trinity, Trinity, USA.
Cureus. 2021 Feb 19;13(2):e13440. doi: 10.7759/cureus.13440.
Acute pericarditis is caused by inflammation of the pericardial sac and is characterized by sharp and pleuritic chest pain, which is accompanied by a pericardial friction rub and serial electrocardiogram (ECG) changes. Although there are many known etiologies of pericarditis, we present the first known case of a herbal supplement, the Tejocote root, causing acute pericarditis in a previously healthy 23-year-old female. Her ECG showed t-wave inversions that resolved with colchicine and non-steroidal anti-inflammatory drug therapy. Prior studies have demonstrated that it can cause adverse cardiovascular effects, but this is the first documented case of the Tejocote root causing acute pericarditis. This case report reinforces the importance of inquiring about supplements patients may be taking, especially when looking for the etiology of pericarditis.
急性心包炎是由心包囊炎症引起的，其特征为尖锐的胸膜炎性胸痛，并伴有心包摩擦音和系列心电图（ECG）变化。尽管心包炎有许多已知病因，但我们报告了首例已知的由一种草药补充剂tejocote根导致一名此前健康的23岁女性患急性心包炎的病例。她的心电图显示T波倒置，经秋水仙碱和非甾体抗炎药治疗后恢复正常。先前的研究已证明它可引起不良心血管效应，但这是首例有记录的tejocote根导致急性心包炎的病例。本病例报告强化了询问患者可能正在服用的补充剂的重要性，尤其是在寻找心包炎病因时。
