University of Miami Miller School of Medicine, University of Miami Health System, Miami, Florida, USA
Internal Medicine, University of Miami Health System, Miami, Florida, USA.
BMJ Case Rep. 2023 Oct 31;16(10):e255224. doi: 10.1136/bcr-2023-255224.
A woman presented to the emergency department for syncope after developing influenza-like symptoms. She tested positive for influenza B. The patient rapidly decompensated into cardiogenic shock over 2 days, requiring aggressive pharmacological therapy and temporary mechanical circulatory support. She made a full recovery. This case highlights the importance of early intervention, urgent transplant evaluation and guideline directed medical therapy in the treatment of fulminant myocarditis secondary to influenza B infection.
一名女性因出现流感样症状后晕厥而到急诊就诊。她乙型流感检测呈阳性。患者在 2 天内迅速发展为心源性休克,需要积极的药物治疗和临时机械循环支持。她完全康复。本病例强调了早期干预、紧急移植评估和指南指导的药物治疗在治疗乙型流感感染引起的暴发性心肌炎中的重要性。