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伴有脑梗死的嗜酸性粒细胞性心肌炎:脑栓塞的病因及病理生理学

Eosinophilic Myocarditis With Cerebral Infarction: The Etiology and Pathophysiology of Cerebral Thrombus.

作者信息

Sato Daisuke, Kakutani Takuya, Yamaguchi Masashi, Saito Shigeru

机构信息

Department of Cardiology, Shonan Kamakura General Hospital, Kamakura, Japan.

Department of Rheumatology, Shonan Kamakura General Hospital, Kamakura, Japan.

出版信息

JACC Case Rep. 2025 May 28;30(12):103512. doi: 10.1016/j.jaccas.2025.103512.

Abstract

Cerebral infarction in patients with eosinophilic myocarditis (EM) is a rare but serious complication. Although the major cause is the presence of intraventricular thrombus, the details remain unexplored. We illustrate a case of EM complicated by cerebral infarction, and we ascertained the cause through histologic findings in a cerebral thrombus. Careful follow-up should be considered, to monitor for the presence of intraventricular thrombus.

摘要

嗜酸性粒细胞性心肌炎(EM)患者发生脑梗死是一种罕见但严重的并发症。虽然主要原因是心室内血栓的存在,但其具体细节仍未明确。我们报告一例并发脑梗死的EM病例,并通过对脑内血栓的组织学检查确定了病因。应考虑进行仔细的随访,以监测心室内血栓的存在。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4509/12235471/b0772bec0a8b/ga1.jpg

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