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一名年轻成年人的急性病毒性心肌炎:病例报告

Acute Viral Myocarditis in a Young Adult: A Case Report.

作者信息

Nguyen Jason, Benites Cristina, Karpel Daniel, Akram Mohammed, Concepcion Livasky

机构信息

Internal Medicine, HCA Florida Aventura Hospital, Aventura, USA.

Department of Medical Education, Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine, Davie, USA.

出版信息

Cureus. 2024 Aug 6;16(8):e66325. doi: 10.7759/cureus.66325. eCollection 2024 Aug.

Abstract

Viral myocarditis is a serious complication of viral infections that is known to impact young adults and can result in significant cardiac issues like earlier onset of heart failure, arrhythmia, or structural heart disease if not detected and treated promptly. This is a case report focusing on a 25-year-old woman diagnosed with viral myocarditis highlighting the diagnostic difficulties it can present with due to its diverse symptoms. Following a thorough diagnostic workup and appropriate treatment, including diuretics, antibiotics, and guideline-directed medical therapy, her condition significantly improved. Early suspicion and prompt treatment are important because myocarditis can lead to long-term heart failure. This case shows the nature of the symptoms and the challenges posed by current diagnostic methods. By conducting clinical assessments and using advanced imaging techniques, the diagnosis was confirmed, leading to appropriate treatment for this patient.

摘要

病毒性心肌炎是病毒感染的一种严重并发症,已知会影响年轻人,如果不及时发现和治疗,可能会导致严重的心脏问题,如心力衰竭、心律失常或结构性心脏病的早期发作。这是一份病例报告,重点讲述了一名被诊断为病毒性心肌炎的25岁女性,突出了因其症状多样而可能出现的诊断困难。经过全面的诊断检查和适当的治疗,包括使用利尿剂、抗生素和遵循指南的药物治疗,她的病情有了显著改善。早期怀疑和及时治疗很重要,因为心肌炎可能导致长期心力衰竭。该病例展示了症状的特点以及当前诊断方法所带来的挑战。通过进行临床评估和使用先进的成像技术,确诊得以确认,从而为该患者进行了适当的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db51/11379340/099a05ad6295/cureus-0016-00000066325-i01.jpg

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