Okutsu Shota, Futami Makito, Arimura Tadaaki, Ohki Kosuke, Hiyoshi Tetsuya, Sakihara Eishi, Kato Yoshifumi, Ueda Yoko, Yano Masaya, Takeshita Morishige, Ishikura Hiroyasu, Suzuki Tadaki, Kato Seiya, Miura Shin-Ichiro, Nabeshima Shigeki
General Medicine, Fukuoka University Hospital, Japan.
Department of Cardiology, Fukuoka University Faculty of Medicine, Japan.
Intern Med. 2022;61(11):1779-1784. doi: 10.2169/internalmedicine.7018-21. Epub 2022 Jun 1.
A 67-year-old man, hospitalized with fever and pancytopenia, experienced cardiogenic shock on the 3rd day of hospitalization. He complained of chest pain and exhibited cardiac dysfunction, upregulated serum troponin levels, and an ST elevation on electrocardiogram. Severe fever with thrombocytopenia syndrome (SFTS) was suspected based on the symptom course after a tick bite and was definitively diagnosed using the serum polymerase chain reaction (PCR) test. An endomyocardial biopsy performed in the convalescent phase revealed a sign of myocardial inflammation with increases in CD3- and CD68-positive cells. We herein report the first case of acute myocarditis complicated with SFTS.
一名67岁男性因发热和全血细胞减少入院，住院第3天发生心源性休克。他主诉胸痛，出现心脏功能障碍、血清肌钙蛋白水平升高及心电图ST段抬高。根据蜱叮咬后的症状过程怀疑为重症发热伴血小板减少综合征（SFTS），并通过血清聚合酶链反应（PCR）检测确诊。恢复期进行的心内膜心肌活检显示心肌炎症迹象，CD3和CD68阳性细胞增加。我们在此报告首例合并SFTS的急性心肌炎病例。
