Ishibashi Yohei, Nojiri Yoshito, Takahashi Yosuke, Takahashi Shinya, Fukuda Nobuaki, Hiroi Shitoshi
Department of Cardiology, NHO Takasaki General Medical Center, Takasaki, Japan.
Oxf Med Case Reports. 2024 Nov 20;2024(11):omae130. doi: 10.1093/omcr/omae130. eCollection 2024 Nov.
A 20-year-old male patient with ulcerative proctitis presented with a fever and chest pain. He was diagnosed with rubella-associated myopericarditis due to pericardial rub, elevated troponin I, ST elevation, and positive rubella-immunoglobulin M. The patient subsequently developed cardiac tamponade but responded well to pericardial drainage and antiinflammatory therapy. Notably, he lacked the classic rubella rash and lymphadenopathy. This case highlights the rare but potential complication of rubella-induced myopericarditis with tamponade, and the importance of considering this diagnosis in the absence of typical rubella symptoms.
一名患有溃疡性直肠炎的20岁男性患者出现发热和胸痛。由于心包摩擦音、肌钙蛋白I升高、ST段抬高以及风疹免疫球蛋白M阳性，他被诊断为风疹相关性心肌心包炎。该患者随后发展为心脏压塞，但心包引流和抗炎治疗反应良好。值得注意的是，他没有典型的风疹皮疹和淋巴结病。该病例突出了风疹诱发的心肌心包炎伴心脏压塞这种罕见但潜在的并发症，以及在没有典型风疹症状时考虑这一诊断的重要性。
