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COVID-19 患者的迟发性急性心包炎和双侧面神经麻痹。

Delayed Acute Perimyocarditis and Bilateral Facial Nerve Palsy in a Patient with COVID-19.

机构信息

Department of Cardiovascular Medicine, Nagasaki University Hospital, Japan.

Department of Tumor and Diagnostic Pathology, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, Japan.

出版信息

Intern Med. 2022 Aug 1;61(15):2327-2332. doi: 10.2169/internalmedicine.9752-22. Epub 2022 May 31.

Abstract

A 41-year-old Japanese man was admitted to our hospital with acute perimyocarditis 4 weeks after coronavirus disease 2019 (COVID-19) infection. Ten days after admission, the patient showed bilateral facial nerve palsy in the course of improvement of perimyocarditis under treatment with aspirin and colchicine. After prednisolone therapy, perimyocarditis completely improved, and the facial nerve palsy gradually improved. Acute perimyocarditis and facial nerve palsy can occur even 4 weeks after contracting COVID-19.

摘要

一位 41 岁的日本男性在感染 2019 冠状病毒病(COVID-19)后 4 周因急性心肌炎入住我院。入院 10 天后,患者在接受阿司匹林和秋水仙碱治疗心肌炎改善的过程中出现双侧面神经麻痹。泼尼松龙治疗后,心肌炎完全改善,面神经麻痹逐渐改善。感染 COVID-19 后甚至 4 周仍可能发生急性心肌炎和面神经麻痹。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b982/9424086/78994b6cf7fb/1349-7235-61-2327-g001.jpg

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