丹毒患者的尖刺头盔征象:一个令人担忧的心电图征象:一个病例报告

The Pan African Medical Journal Pub Date : 2023-01-01 DOI:10.11604/pamj.2023.46.58.40438

Salihou Fall, Sameh Ben Farhat, Ahmed Chelly, Hella Kaddour, Saeb Ben Saad, Ahmed Mohamed El Hedi, Mehdi Slim, Houssem Thabet, Sami Ouannes, Rym Gribaa, Aymen Elhraiech, Neffati Elyes

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引用次数: 0

摘要

刺状头盔征的早期诊断具有挑战性。这种st段抬高型心肌梗死在2011年由Littmann及其同事首次描述，并与严重的非冠状动脉病变有关，死亡率高。我们提出了一个60岁的女性患者谁发展严重丹毒与脓毒症相关的严重低钾血症。她入院时的常规心电图上有一个尖刺头盔的标志。我们做了冠状动脉造影，没有发现罪魁祸首动脉。后来她患上了缺血性中风。通过对患者脓毒症和电解质紊乱的强化治疗，她获得了良好的预后。

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The spiked helmet sign in a patient with erysipelas: an alarming electrocardiogram sign: a case report

Early diagnosis of the spiked helmet sign is challenging. This ST-elevation myocardial infarction mimic was first described in 2011 by Littmann and colleagues and was linked to severe non-coronary pathologies, with a high risk of mortality. We present a case of a 60-year-old female patient who developed severe erysipelas with sepsis associated with severe hypokalemia. She had a spiked helmet sign on her routine electrocardiogram at hospital admission. We performed a coronary angiogram that showed no culprit artery. She developed afterward an ischemic stroke. Through intensive management of the patients sepsis and electrolyte disturbance, she had a favorable outcome.

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The Pan African Medical Journal

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