Beard T, Boudjemaa B, Carrié D, Chakra G, Ferrières J, Delay M, Bernadet P
Service de Cardiologie, Hôpital Purpan, Toulouse.
Ann Cardiol Angeiol (Paris). 1993 May;42(5):257-65.
This study reports two cases of acute severe Coxsackie virus B4 myocarditis in which the immediate clinical signs suggested the acute phase of myocardial infarction, apparently antero-lateral in the first case in a context of cardiogenic shock and infero-lateral in the second case, in the context of acute pulmonary edema. Both cases were characterized by the severity of the initial signs. Numerous other cases of acute Coxsackie virus B myocarditis, simulating myocardial infarction, have been reported in the literature and these contexts deserve to be recognized earlier as they call for specific treatment. The immediate outcome was favorable in both cases but required massive cardiological intensive care in the first patient. Long term follow-up was excellent.
本研究报告了两例急性重症柯萨奇病毒B4心肌炎病例，其即时临床体征提示为心肌梗死急性期，第一例在心源性休克背景下表现为前侧壁心肌梗死，第二例在急性肺水肿背景下表现为下侧壁心肌梗死。两例病例均以初始体征的严重性为特征。文献中已报道了许多其他模拟心肌梗死的急性柯萨奇病毒B心肌炎病例，鉴于这些情况需要特殊治疗，故应更早地识别。两例病例的即时预后均良好，但第一例患者需要大量的心脏重症监护。长期随访结果良好。
