Zhang Yi, Liu Xinmei, Liu Hongsheng, Zhang Chunying
Clinical Medical College of Jining Medical University, Jining, Shandong, 272013, People's Republic of China.
Department of Cardiac Intensive Medicine, Affiliated Hospital of Jining Medical University, Jining, Shandong, 272029, People's Republic of China.
Int Med Case Rep J. 2021 Nov 18;14:783-788. doi: 10.2147/IMCRJ.S335355. eCollection 2021.
() infection, a zoonotic infection with a global distribution, is clinically manifested by meningitis, followed by sepsis, infective endocarditis and arthritis. infection is not uncommon, but acute myocardial infarction (AMI), as an initial symptom, has not yet been reported. We report a case of infection with AMI as an initial symptom. The patient, a previously healthy butcher with no known risk factors for AMI, was admitted to hospital with a sudden onset of AMI. Then, thrombolytic therapy, anticoagulation therapy with nadroparin calcium and antiplatelet therapy with aspirin and ticagrelor were adopted. Two days later, blood cultures in aerobic and anaerobic bottles were positive for and he received antibiotic therapy with piperacillin/tazobactam. Then, his symptoms improved and he was transferred to a special infectious disease hospital for further treatment and was discharged upon complete recovery. To the best of our knowledge, this is the first reported case of AMI as the initial symptom of infection, which illustrates a possible new symptom of this important pathogen. For AMI patients with unexplained infections, and who are in close frequent contact with pigs and/or pork products, clinicians should be alert to the possibility of infections.
（某种病菌名称）感染是一种具有全球分布的人畜共患病感染，临床表现为脑膜炎，其次是败血症、感染性心内膜炎和关节炎。（该病菌名称）感染并不罕见，但以急性心肌梗死（AMI）作为初始症状尚未见报道。我们报告一例以AMI作为初始症状的（该病菌名称）感染病例。该患者为一名此前健康的屠夫，无已知的AMI危险因素，因突然发作的AMI入院。随后，采用了溶栓治疗、使用那屈肝素钙的抗凝治疗以及使用阿司匹林和替格瑞洛的抗血小板治疗。两天后，需氧瓶和厌氧瓶中的血培养（该病菌名称）呈阳性，他接受了哌拉西林/他唑巴坦的抗生素治疗。随后，他的症状有所改善，并被转至一家专门的传染病医院进行进一步治疗，完全康复后出院。据我们所知，这是首例报道的以AMI作为（该病菌名称）感染初始症状的病例，这说明了这种重要病原体可能出现的新症状。对于患有不明原因感染且与猪和/或猪肉产品密切频繁接触的AMI患者，临床医生应警惕（该病菌名称）感染的可能性。
