一名男性重症监护室护士患急性非风湿性心肌心包炎，与A组溶血性链球菌扁桃体炎有关。

Acute nonrheumatic myopericarditis associated with group A hemolytic streptococcal tonsillitis in a male ICU-nurse.

作者信息

Said S A, Severin W P

机构信息

Department of Cardiology, Hospital Streekziekenhuis Midden-Twente, Hengelo, The Netherlands.

出版信息

Neth J Med. 1998 Dec;53(6):266-70. doi: 10.1016/s0300-2977(98)00100-4.

DOI:10.1016/s0300-2977(98)00100-4

PMID:9883005

Abstract

We present the case of a 38-year-old man who developed acute myopericarditis, mimicking acute myocardial infarction, as manifested by electrocardiographic, echocardiographic alterations and elevated cardiac enzymes complicating Lancefield group A beta-hemolytic streptococcal tonsillitis. After receiving oral penicillin, the clinical recovery was complete. Fever, tachycardia and chest discomfort resolved within a few days. Furthermore, enzyme levels and C-reactive protein returned to normal within eight days.

摘要

我们报告了一例38岁男性病例，该患者患急性心肌心包炎，心电图、超声心动图改变及心肌酶升高，酷似急性心肌梗死，并发于A群β溶血性链球菌扁桃体炎。口服青霉素后，临床完全康复。发热、心动过速及胸部不适在数天内消退。此外，酶水平及C反应蛋白在8天内恢复正常。