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肠胃炎的一种意外并发症。

An Unexpected Complication of Gastroenteritis.

作者信息

Grignard Jolan, Silber Kevin, Paccaud Heloise, Fabien Guérisse

机构信息

Department of Emergency Medicine, Centre Hospitalier Universitaire de Charleroi, Lodelinsart, BEL.

Department of Emergency Medicine, Erasmus Hospital, Bruxelles, BEL.

出版信息

Cureus. 2025 Aug 7;17(8):e89556. doi: 10.7759/cureus.89556. eCollection 2025 Aug.

Abstract

A 37-year-old man, previously healthy, presented to the emergency department with retrosternal chest pain for 24 hours, in the context of watery diarrhea (five to six times a day), abdominal pain, and fever evolving over four days. Following medical assessment, a diagnosis of myopericarditis due to infection was made. This complication of infection is rare and poorly described, but given its rising incidence, increased vigilance is necessary. The affinity of for the myocardium and pericardium remains unclear. The underlying mechanisms are still under investigation, although several hypotheses are emerging. Its insidious presentation and generally favorable clinical course make it an entity often underdiagnosed and widely unrecognized. This case report aims to highlight the existence of this rare complication (0.4%) to prevent diagnostic errors and iatrogenic complications (potentially harmful coronary angiographies or fibrinolysis) that may result from it.

摘要

一名37岁男性,既往身体健康,因胸骨后胸痛24小时就诊于急诊科。患者伴有水样腹泻(每日五至六次)、腹痛及发热,病程已达四天。经医学评估,诊断为感染性心肌心包炎。这种感染并发症较为罕见,相关描述也不多,但鉴于其发病率呈上升趋势,有必要提高警惕。[病原体名称]对心肌和心包的亲和力尚不清楚。尽管有几种假说,但潜在机制仍在研究中。其隐匿的表现及总体良好的临床病程使其常被漏诊且广泛未被认识。本病例报告旨在强调这种罕见并发症(0.4%)的存在,以防止可能由此导致的诊断错误和医源性并发症(潜在有害的冠状动脉造影或纤维蛋白溶解)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02ab/12413893/1adcdb8cade0/cureus-0017-00000089556-i01.jpg

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