Falcon-Eicher S, Eicher J C, Collet E, Dalac S, Lambert D, Portier H, David M, Wolf J E
Centre de Cardiologie, Hôpital du Bocage, Dijon.
Ann Cardiol Angeiol (Paris). 1995 Jan;44(1):21-4.
The authors report the case of a 33-year-old patient with dermatopolymyositis, admitted to hospital for acute cystic pericarditis with fever and deterioration of the general state. The aetiological diagnosis was obtained by analysis of the pericardial fluid after surgical drainage, revealing purulent Staphylococcus aureus pericarditis. This case emphasises that, despite the marked rarity of pericardial effusion in the course of dermatopolymyositis, due to the steroid sensitivity of this disease, the possibility of septic contamination should be considered in the presence of persistent pericarditis in the context of this disease.
作者报告了一例33岁的皮肌炎患者，因急性囊性心包炎伴发热及全身状况恶化入院。通过手术引流后对心包积液进行分析得出病因诊断，结果显示为脓性金黄色葡萄球菌心包炎。该病例强调，尽管在皮肌炎病程中心包积液极为罕见，但鉴于该疾病对类固醇敏感，在此病背景下若存在持续性心包炎，应考虑败血症污染的可能性。
