de Lima M A, Rodrigues Júnior V, Silva-Vergara M L, Nomelini M B, Paim N, dos Santos T A, dos Santos V M
Departamento de Clínica Médica, Hospital Escola, Faculdade de Medicina do Triângulo Mineiro, Uberaba, MG.
Rev Soc Bras Med Trop. 1998 Jul-Aug;31(4):385-90.
This is a case report of lepromatous infection diagnosed at necropsy, with cardiac alterations directly caused by mycobacteria, in a 34-year-old black male with the cardiac form of Chagas' disease. The possible role of inflammatory mediators on cardiac dysfunction, and the possibility that immune depression may be due to factors associated with heart failure, as congestive splenomegaly and splenic infarctions, are emphasized.
这是一例尸检诊断为瘤型麻风感染的病例报告，患者为一名34岁患有恰加斯病心脏型的黑人男性，其心脏改变由分枝杆菌直接引起。文中强调了炎症介质在心脏功能障碍中可能发挥的作用，以及免疫抑制可能归因于与心力衰竭相关的因素（如充血性脾肿大和脾梗死）的可能性。
