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一名免疫功能正常的年轻成年人空肠弯曲菌性肠胃炎后发生心肌心包炎的罕见病例。

A Rare Case of Myopericarditis Following Campylobacter Gastroenteritis in an Immunocompetent Young Adult.

作者信息

Baronos Konstantinos, Chong Huili James, Athithan Lavanya, Varanasi Subrahmanya Srinivas

机构信息

Medicine, University Hospitals of Leicester NHS Trust, Leicester, GBR.

Cardiology, University Hospitals of Leicester NHS Trust, Leicester, GBR.

出版信息

Cureus. 2025 Apr 29;17(4):e83224. doi: 10.7759/cureus.83224. eCollection 2025 Apr.

DOI:10.7759/cureus.83224
PMID:40453302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12123056/
Abstract

Myopericarditis is a rare but recognised extra-intestinal manifestation of infection, particularly in the absence of any underlying disease. While is a common cause of bacterial gastroenteritis, its potential to cause cardiac involvement is usually underestimated.The pathogenic process is not well elucidated but is most likely to involve direct bacterial invasion, immune processes, or systemic inflammation. In the early stages, symptoms may simulate acute coronary syndromes and therefore present diagnostic challenges. We present the case of a previously healthy young adult patient who had developed myopericarditis following an episode of self-limiting gastroenteritis. The diagnosis was established by electrocardiography, cardiac biomarker testing, echocardiogram (ECG), and cardiac magnetic resonance imaging (CMRI). Late gadolinium enhancement revealed sub-epicardial enhancement in the basal inferior and inferolateral segments, consistent with myopericarditis. The patient was conservatively managed with intravenous fluids, analgesia, and cardiac monitoring and made a complete recovery. This case emphasises the requirement of a strong suspicion of cardiac complications in patients presenting with chest pain following recent gastrointestinal illness. Prompt identification and adequate management can yield excellent results and prevent disastrous outcomes.

摘要

心肌心包炎是一种罕见但已被认可的肠道外感染表现,尤其是在没有任何基础疾病的情况下。虽然[此处原文有缺失信息]是细菌性肠胃炎的常见病因,但其导致心脏受累的可能性通常被低估。致病过程尚未完全阐明,但很可能涉及细菌直接入侵、免疫过程或全身性炎症。在早期阶段,症状可能类似急性冠状动脉综合征,因此带来诊断挑战。我们报告一例既往健康的年轻成年患者,在一次自限性肠胃炎发作后发生了心肌心包炎。通过心电图、心脏生物标志物检测、超声心动图(ECG)和心脏磁共振成像(CMRI)确诊。延迟钆增强显示基底下壁和下侧壁节段的心外膜下强化,符合心肌心包炎表现。该患者接受了静脉补液、镇痛和心脏监测等保守治疗,完全康复。该病例强调了对于近期胃肠道疾病后出现胸痛的患者,需要高度怀疑心脏并发症。及时识别和适当管理可取得良好效果并预防灾难性后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa70/12123056/da1d6e148a5c/cureus-0017-00000083224-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa70/12123056/a56d352980df/cureus-0017-00000083224-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa70/12123056/3a6c16f6ad77/cureus-0017-00000083224-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa70/12123056/da1d6e148a5c/cureus-0017-00000083224-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa70/12123056/a56d352980df/cureus-0017-00000083224-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa70/12123056/3a6c16f6ad77/cureus-0017-00000083224-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa70/12123056/da1d6e148a5c/cureus-0017-00000083224-i03.jpg

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J Cardiol Cases. 2023 Jul 1;28(5):185-188. doi: 10.1016/j.jccase.2023.06.008. eCollection 2023 Nov.
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Cardiovascular Magnetic Resonance in Myocarditis.心肌炎的心血管磁共振成像
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