Sacide S Ozgur, Nida Ansari, Alan Alcantara, Angela Pais Vidreiro, Ryan Rahman, Yezin Shamoon, Sherif Elkattawy, Rachel Abboud, Rajkumar Doshi, Fayez Shamoon
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引用次数: 0
摘要
心包炎和心肌炎是心包和心肌的炎症，通常是特发性或感染性病因，其中病毒感染最为常见。非风湿性链球菌性心肌炎（NSM）是一种罕见的疾病，可诱发急性心肌梗死。本病例报告的患者是一名 22 岁的男性，既往无病史，在感染链球菌咽炎后出现 NSM。患者表现为胸膜炎性胸痛、胸闷和运动耐力下降。实验室检查显示肌钙蛋白水平升高，链球菌 G 抗原阳性。治疗包括氨苄西林-舒巴坦、秋水仙碱、布洛芬和地塞米松。患者的症状得到缓解，出院时服用了阿莫西林-克拉维酸、秋水仙碱和布洛芬。
A Unique Presentation of Bacterial Group G Streptococcus Myopericarditis.
Perimyocarditis and myopericarditis are inflammatory conditions of the pericardium and myocardium, often of idiopathic or infectious etiology, with viral infections being the most common. Nonrheumatic streptococcal myopericarditis (NSM) is a rare condition that can mimic acute myocardial infarction. This case report presents a 22-year-old male with no prior medical history who developed NSM following a streptococcal pharyngitis infection. The patient presented with pleuritic chest pain, tightness, and decreased exercise tolerance. Laboratory studies revealed elevated troponin levels and positive Streptococcus G antigen. Treatment included ampicillin-sulbactam, colchicine, ibuprofen, and dexamethasone. The patient's symptoms resolved, and he was discharged with amoxicillin-clavulanate, colchicine, and ibuprofen.
期刊介绍：
The AFMR is committed to enhancing the training and career development of our members and to furthering its mission to facilitate the conduct of research to improve medical care. Case reports represent an important avenue for trainees (interns, residents, and fellows) and early-stage faculty to demonstrate productive, scholarly activity.
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