Serviço de Medicina Interna. Centro Hospitalar Universitário do Porto. Porto. Portugal.
Serviço de Cardiologia. Centro Hospitalar Universitário do Porto. Porto. Portugal.
Acta Med Port. 2022 Dec 2;35(12):912-914. doi: 10.20344/amp.17251. Epub 2022 Apr 28.
Campylobacter jejuni is one of the most common causes of enteritis. In rare cases, extraintestinal infection can occur, with a handful of cases of cardiac involvement, of which the pathophysiological mechanism is unclear. We report a case of pericarditis in a patient with X-linked agammaglobulinemia presenting with chronic diarrhea and chest pain who evolved to cardiac tamponade, requiring a pericardial window and a long course of broad-spectrum antibiotics. To the best of our knowledge, this is the third case of pericarditis caused by Campylobacter jejuni reported in the literature, the second in a patient with X-linked agammaglobulinemia. Despite its rarity, this case serves as a reminder of Campylobacter as a potential cause of cardiac inflammation for clinicians treating pericarditis/myocarditis, especially in patients with a history of diarrhea or immunosuppression.
空肠弯曲菌是肠炎最常见的病因之一。在极少数情况下,可能会发生肠道外感染,少数情况下会出现心脏受累,其病理生理机制尚不清楚。我们报告了一例 X 连锁无丙种球蛋白血症患者出现心包炎的病例,该患者表现为慢性腹泻和胸痛,进而发展为心脏压塞,需要进行心包开窗和长期广谱抗生素治疗。据我们所知,这是文献中报道的第三例由空肠弯曲菌引起的心包炎病例,也是第二例发生在 X 连锁无丙种球蛋白血症患者中的病例。尽管这种情况很少见,但该病例提醒临床医生在治疗心包炎/心肌炎时,尤其是在有腹泻或免疫抑制病史的患者中,要将空肠弯曲菌视为心脏炎症的潜在病因。