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尿路感染并发急性心肌炎所致菌血症:一种罕见的并发症。

bacteremia due to urinary tract infection complicated by acute myocarditis: A rare complication.

作者信息

Oudih Mohamadanas, Harhara Thana

机构信息

Department of Education, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.

Department of Internal Medicine, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.

出版信息

SAGE Open Med Case Rep. 2021 Jun 17;9:2050313X211023674. doi: 10.1177/2050313X211023674. eCollection 2021.

Abstract

Acute myocarditis is a rare complication of urinary tract infection and sepsis. We report the case of a previously healthy 55-year-old female who presented to our emergency department with diarrhea and hypotension. The basic metabolic panel results showed an increase in inflammatory markers and an acute kidney injury. Urine and blood cultures grew . The patient subsequently developed sudden chest pain and shortness of breath, diffuse ST-segment elevation, and cardiac enzymes' elevation. Coronary angiogram was normal, and transthoracic echocardiogram demonstrated normal ventricular functions. Cardiac magnetic resonance imaging was highly suspicious of myopericarditis. The patient made a full recovery after infection treatment with intravenous antibiotics, aspirin, and colchicine.

摘要

急性心肌炎是尿路感染和脓毒症的一种罕见并发症。我们报告一例病例,一名55岁既往健康的女性因腹泻和低血压就诊于我院急诊科。基本代谢指标结果显示炎症标志物升高及急性肾损伤。尿液和血液培养有细菌生长。该患者随后突发胸痛、气短,ST段弥漫性抬高,心肌酶升高。冠状动脉造影正常,经胸超声心动图显示心室功能正常。心脏磁共振成像高度怀疑心肌心包炎。该患者经静脉使用抗生素、阿司匹林和秋水仙碱进行抗感染治疗后完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d0/8216333/94bef3caf4f7/10.1177_2050313X211023674-fig1.jpg

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