Reichman N, Kaufman N, Flatau E
Dept. of Medicine B, Central Emek Hospital, Afula.
Harefuah. 1997 Jan 15;132(2):89-90, 151.
Constrictive pericarditis may complicate the course of several viral infections, mainly Coxsackie virus group B, as well as in rheumatoid disease, radiation and neoplasm. Perimyocardial involvement during influenzal infections is usually mild and does not progress to constriction or tamponade. A single case of cardiac tamponade caused by influenza A was reported in 1986. We report a case of acute effusive-constrictive pericarditis due to influenza A infection. Corticosteroids resulted in some benefit, but did not relieve constriction, which required extensive pericardiectomy.
缩窄性心包炎可能会使多种病毒感染病程复杂化，主要是B组柯萨奇病毒，在类风湿性疾病、放疗及肿瘤中也会如此。流感感染期间的心包心肌受累通常较轻，不会进展为缩窄或心脏压塞。1986年曾报道过1例甲型流感所致的心脏压塞病例。我们报告1例甲型流感感染引起的急性渗出性缩窄性心包炎病例。皮质类固醇治疗有一定益处，但未能缓解缩窄，最终需要进行广泛的心包切除术。
