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空肠弯曲菌相关性小肠结肠炎并发症——心肌炎:两例报告

Myocarditis as a Complication of Campylobacter jejuni-Associated Enterocolitis: A Report of Two Cases.

作者信息

Mohamed Jiffry Mohamed Zakee, Okam Nkechi A, Vargas Jonathan, Adekunle Faith A, Pagan Stephanie C, Khowaja Faisal, Ahmed-Khan Mohammad A

机构信息

Internal Medicine, Danbury Hospital, Danbury, USA.

School of Medicine, American University of the Caribbean, Cupecoy, SXM.

出版信息

Cureus. 2023 Mar 15;15(3):e36171. doi: 10.7759/cureus.36171. eCollection 2023 Mar.

Abstract

Myocarditis refers to inflammation of the heart muscle and may occur individually or together with pericarditis, which refers to inflammation of the saclike tissue layer that surrounds the heart. They may have infectious or non-infectious etiologies. , a major cause of gastroenteritis worldwide, may also cause myocarditis in rare situations. We present two cases highlighting this rare complication of diarrheal disease caused by infection and subsequent development of myocarditis. Both patients presented with chest pain and multiple episodes of watery diarrhea, with initial EKGs showing ST segment changes, as well as elevated inflammatory markers and elevated troponins. GI panels for both patients were positive for . Based on their presentations and investigative findings, they were diagnosed with myocarditis secondary to infection, and their symptoms subsided with appropriate management. It is unclear if the myocardial damage, in this case, is a direct effect of the toxin on cardiac myocytes or secondary to an immunologic phenomenon. Regardless, associated myocarditis remains a rare phenomenon and needs to be considered in the differential of patients presenting with concurrent chest pain and diarrheal symptoms.

摘要

心肌炎指心肌的炎症,可单独发生或与心包炎同时出现,心包炎指围绕心脏的囊状组织层的炎症。它们可能有感染性或非感染性病因。 是全球范围内肠胃炎的主要病因,在罕见情况下也可能导致心肌炎。我们报告两例突出由 感染引起的腹泻病这种罕见并发症及随后发生心肌炎的病例。两名患者均出现胸痛和多次水样腹泻,初始心电图显示ST段改变,以及炎症标志物升高和肌钙蛋白升高。两名患者的胃肠道检查均显示 呈阳性。根据他们的临床表现和检查结果,他们被诊断为继发于 感染的心肌炎,经过适当治疗后症状缓解。在这种情况下,心肌损伤是毒素对心肌细胞的直接作用还是继发于免疫现象尚不清楚。无论如何,相关的心肌炎仍然是一种罕见现象,在出现胸痛和腹泻症状同时出现的患者鉴别诊断中需要考虑到。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b56a/10104424/dc9a7b23ff69/cureus-0015-00000036171-i01.jpg

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