Internal Medicine, Franciscus Gasthuis en Vlietland, Rotterdam, Zuid-Holland, Netherlands
Internal Medicine, Franciscus Gasthuis en Vlietland, Rotterdam, Zuid-Holland, Netherlands.
BMJ Case Rep. 2023 Nov 21;16(11):e255928. doi: 10.1136/bcr-2023-255928.
Perimyocarditis involves inflammation of the heart muscle and surrounding tissue, causing reduced left ventricular ejection fraction. Typically viral, but occasionally bacterial, this condition can arise from , a rare yet potentially serious pathogen that can lead to cardiac inflammation and subsequent heart failure. Since this bacterium is mainly associated with cat scratch disease-which is self-limiting and has a mild disease course potential role in cardiac disease is underestimated. We present a mid-30s man, immunocompetent, who presented to the emergency department with acute heart failure due to -associated perimyocarditis. Despite not recalling any scratches or bites from cats, the patient had been living with cats, which likely exposed him. This case highlights the varied clinical presentations of -associated heart disease and underscores the importance of considering this pathogen as a potential cause of perimyocarditis, particularly in individuals with exposure to cats.
心肌炎涉及心肌和周围组织的炎症，导致左心室射血分数降低。这种情况通常是由病毒引起的，但偶尔也由细菌引起，它可能由一种罕见但潜在严重的病原体引起，这种病原体可导致心脏炎症和随后的心衰。由于这种细菌主要与猫抓病有关——猫抓病具有自限性且疾病过程较轻，因此其在心内疾病中的潜在作用被低估了。我们介绍了一位 30 多岁的免疫功能正常的男性，因感染 - 相关心肌炎而急性心力衰竭到急诊就诊。尽管患者不记得有被猫抓或咬的情况，但他一直与猫生活在一起，这可能使他暴露于该病原体。此病例突出了与感染相关的心脏疾病的各种临床表现，并强调了将这种病原体视为心肌炎潜在病因的重要性，特别是在接触过猫的个体中。
