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在乙型流感相关暴发性心肌炎恢复过程中,晚期心力衰竭治疗的作用。

Role for advanced heart failure therapies in the management of influenza B-associated fulminant myocarditis with recovery.

机构信息

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.

出版信息

BMJ Case Rep. 2023 Oct 31;16(10):e255224. doi: 10.1136/bcr-2023-255224.

Abstract

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.

摘要

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。

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本文引用的文献

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Fulminant Myocarditis: Epidemiology, Pathogenesis, Diagnosis, and Management.暴发性心肌炎:流行病学、发病机制、诊断与治疗。
Am J Cardiol. 2019 Dec 15;124(12):1954-1960. doi: 10.1016/j.amjcard.2019.09.017. Epub 2019 Sep 25.
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Fatal Influenza B Myocarditis in a 34-Year-Old Female.一名34岁女性的致命性乙型流感病毒心肌炎
Clin Pract Cases Emerg Med. 2018 May 29;2(3):219-222. doi: 10.5811/cpcem.2018.3.37718. eCollection 2018 Aug.

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