迅速发病,迅速恢复:A 组链球菌咽炎后一名年轻成人的非风湿性心肌炎。

IF 1 Q4 INFECTIOUS DISEASES
Case Reports in Infectious Diseases Pub Date : 2024-08-12 eCollection Date: 2024-01-01 DOI:10.1155/2024/4942739
Andres Rios, Colby Wood, Ricardo Isaiah Garcia, Emily C Mitchell, Jacob Nichols
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引用次数: 0

摘要

本病例报告重点介绍了一名 24 岁男性非风湿性心肌炎的不寻常表现和治疗方法,该年龄段的患者在甲型链球菌咽炎后出现心肌并发症的情况并不常见。该患者既往无任何病史,在被确诊为 A 组链球菌咽炎一天后就出现了症状,这与典型的心肌并发症进展形成了鲜明对比。由于患者发病迅速,随后的临床表现也很明显,因此有必要采取综合诊断方法。阿莫西林和抗炎治疗成功地缓解了患者的症状,凸显了阿莫西林在治疗非风湿性心肌炎方面的潜在疗效。本病例有力地提醒人们,保持广泛的鉴别诊断非常重要,尤其是在非典型病例中,以及时临床干预的关键作用。本报告的见解有助于人们更广泛地了解非风湿性心肌炎,强调了量身定制的诊断和治疗策略对于确保患者获得最佳治疗效果的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Swift Onset, Swift Recovery: Unusual Nonrheumatic Myocarditis in a Young Adult Post Group A Streptococcal Pharyngitis.

This case report highlights the unusual presentation and management of nonrheumatic myocarditis in a 24-year-old male, an age demographic not commonly associated with myocardial complications following Group A streptococcal pharyngitis. The patient, devoid of any prior medical history, manifested symptoms one day after being diagnosed with Group A streptococcal pharyngitis, a stark contrast to the typical progression of myocardial complications. The swift onset of symptoms and the patient's subsequent clinical presentation necessitated a comprehensive diagnostic approach. The patient's symptoms were successfully alleviated with amoxicillin and anti-inflammatory therapy, underscoring its potential efficacy in managing nonrheumatic myocarditis. This case serves as a poignant reminder of the importance of maintaining a broad differential diagnosis, especially in atypical presentations, and the pivotal role of timely clinical intervention. The insights from this report contribute to the broader understanding of nonrheumatic myocarditis, emphasizing the significance of tailored diagnostic and therapeutic strategies to ensure optimal patient outcomes.

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