Farraj R S, McCully R B, Oh J K, Smith T F
Department of Internal Medicine, Mayo Clinic Rochester, Minnesota 55905, USA.
Mayo Clin Proc. 1997 Jan;72(1):33-6. doi: 10.4065/72.1.33.
Mycoplasma pneumoniae-associated pericarditis may result in pronounced morbidity unless appropriate therapy is administered. In this report, we describe a patient who had recurrent episodes of chest pain, intermittent constitutional symptoms, and, eventually, cardiac tamponade due to pericarditis despite treatment with nonsteroidal anti-inflammatory drugs. Immunofluorescence antibody titers were consistent with recent M. pneumoniae infection, and antibiotic therapy resulted in rapid and complete resolution of the patient's symptoms. This treatable entity may be underrecognized and can now be diagnosed with sensitive serologic testing.
除非给予适当治疗，肺炎支原体相关性心包炎可能导致明显的发病率。在本报告中，我们描述了一名患者，尽管使用了非甾体类抗炎药治疗，但仍反复出现胸痛、间歇性全身症状，最终因心包炎导致心脏压塞。免疫荧光抗体滴度与近期肺炎支原体感染一致，抗生素治疗使患者症状迅速完全缓解。这种可治疗的疾病可能未得到充分认识，现在可以通过敏感的血清学检测进行诊断。
