Hofner G, Hofbeck M, Koch A, Schmiedl N, Singer H
Klinik mit Poliklinik für Kinder und Jugendliche Universität Erlangen-Nürnberg.
Z Kardiol. 1997 Jun;86(6):423-6. doi: 10.1007/s003920050075.
Although carditis associated with Mycoplasma pneumoniae is infrequent it is an important cause of death in M. pneumoniae infections. We report on a 4-year-old boy with a M. pneumoniae infection, who developed a large hemorrhagic pericardial effusion and was successfully treated by percutaneous catheter drainage. Except in cancer patients, nontraumatic hemorrhagic pericardial effusions are rare. Our case strongly supports direct bacterial invasion into pericardial tissue as a cause of M. pneumoniae pericarditis rather than autoimmune phenomenon.
虽然与肺炎支原体相关的心脏炎并不常见，但它是肺炎支原体感染导致死亡的重要原因。我们报告了一名4岁患有肺炎支原体感染的男孩，他出现了大量出血性心包积液，并通过经皮导管引流成功治愈。除癌症患者外，非创伤性出血性心包积液很少见。我们的病例有力地支持了肺炎支原体性心包炎的病因是细菌直接侵入心包组织，而非自身免疫现象。
