甲型流感病毒并发心包炎伴心包积液。

IF 1.1 Q4 INFECTIOUS DISEASES
IDCases Pub Date : 2025-01-01 DOI:10.1016/j.idcr.2025.e02158
Dhara Rana , Anson Marsh , Mahum Sami , Hiral Shukla , Dimitris Barbouletos , Nicholas Calder
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引用次数: 0

摘要

甲型流感病毒感染典型表现为肺部表现,通常需要对症治疗。它很少并发心包炎并心包积液。我们报告一例由甲型流感引起的心包炎伴心包积液的病例,患者表现为肌钙蛋白和BNP升高。胸部x线片显示心脏轮廓增大,肺部清晰。心包积液的CT血管造影表现显著。超声心动图显示轻度同心性左心室肥厚伴小至中度心包积液,超声心动图无心包填塞征象。本病例的重要意义使临床医生意识到急性心包炎并发心包积液如果不及时治疗,可导致致命的并发症,如心包填塞或心源性休克。在我们的病例中,早期诊断和治疗可以降低发生这种严重心脏事件的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Influenza A Virus Complicated by Myopericarditis with Pericardial Effusion
Influenza A viral infection classically presents as pulmonary manifestations which often require symptomatic management. It can rarely be complicated by pericarditis with concurrent pericardial effusion. We present a unique case of myopericarditis with a pericardial effusion caused by Influenza A. Our patient was presented with elevated troponin and BNP. Chest x-ray showed an enlargement of the cardiac silhouette and clear lungs. CT angiography was remarkable for pericardial effusion. An echocardiogram was performed which demonstrated mild concentric left ventricular hypertrophy with small to moderate circumferential pericardial effusion, and no echocardiographic signs of cardiac tamponade. The significance of our case makes clinicians aware that acute myopericarditis with concurrent pericardial effusion can lead to fatal complications such as cardiac tamponade or cardiogenic shock if left untreated. Early diagnosis and treatment as presented in our case could reduce the risk of such severe cardiac events from occurring.
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来源期刊
IDCases
IDCases INFECTIOUS DISEASES-
CiteScore
2.60
自引率
6.70%
发文量
300
审稿时长
10 weeks
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