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一名全球旅行者的心包炎和骶髂关节炎

Pericarditis and Sacroiliitis in a World Traveler.

作者信息

Vecchié Alessandra, Raybould Jillian E, Sangal Kunal, Bonaventura Aldo, Gillen Melissa, Abbate Antonio, Sastry Sangeeta, Bhardwaj Hem

机构信息

VCU Pauley Heart Center, Virginia Commonwealth University, Richmond, Virginia, USA.

Department of Internal Medicine, Division of Infectious Diseases, Virginia Commonwealth University Health System, Richmond, Virginia, USA.

出版信息

JACC Case Rep. 2021 Jun 23;3(10):1322-1326. doi: 10.1016/j.jaccas.2021.04.019. eCollection 2021 Aug 18.

DOI:10.1016/j.jaccas.2021.04.019
PMID:34471887
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8387803/
Abstract

A 65-year-old immunocompromised woman presented with progressive dyspnea and sacroiliac joint pain. Cardiac magnetic resonance showed abnormal right ventricular filling with septal bounce and abnormal pericardial enhancement, suggestive of constrictive pericarditis. Cultures from pericardium following pericardiectomy grew . She was diagnosed with coccidioidomycosis and responded to pericardiectomy and amphotericin. ().

摘要

一名65岁的免疫功能低下女性出现进行性呼吸困难和骶髂关节疼痛。心脏磁共振显示右心室充盈异常伴室间隔弹跳及心包异常强化，提示缩窄性心包炎。心包切除术后心包组织培养生长出……。她被诊断为球孢子菌病，心包切除及两性霉素治疗有效。（）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4faa/8387803/a8ac0432a9e3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4faa/8387803/25869e6baed6/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4faa/8387803/b46010d2a698/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4faa/8387803/14d559879a65/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4faa/8387803/a8ac0432a9e3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4faa/8387803/25869e6baed6/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4faa/8387803/b46010d2a698/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4faa/8387803/14d559879a65/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4faa/8387803/a8ac0432a9e3/gr3.jpg

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引用本文的文献

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Microorganisms. 2025 Mar 21;13(4):707. doi: 10.3390/microorganisms13040707.

本文引用的文献

1
Management of Acute and Recurrent Pericarditis: JACC State-of-the-Art Review.急性和复发性心包炎的管理：美国心脏病学会杂志最新技术综述
J Am Coll Cardiol. 2020 Jan 7;75(1):76-92. doi: 10.1016/j.jacc.2019.11.021.
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Spinal Coccidioidomycosis: A Current Review of Diagnosis and Management.脊柱球孢子菌病：诊断与治疗现状综述
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Coccidioidomycosis: a descriptive survey of a reemerging disease. Clinical characteristics and current controversies.球孢子菌病：一种再度出现疾病的描述性调查。临床特征及当前争议
Medicine (Baltimore). 2004 May;83(3):149-175. doi: 10.1097/01.md.0000126762.91040.fd.
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Treatment of coccidioidal spinal infection: experience in 16 cases.球孢子菌性脊柱感染的治疗：16例经验
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Detection of antibodies to Coccidioides immitis by enzyme immunoassay.通过酶免疫测定法检测粗球孢子菌抗体。
Am J Clin Pathol. 1997 Feb;107(2):148-53. doi: 10.1093/ajcp/107.2.148.