リステリア・モノサイトゲネスによる隔離された右心房筋炎
Paula Poveda Velazquez1, Mohammed Y Khanji2, Reem Laymouna1
1Barts Heart Centre, St Bartholomew's Hospital, Barts Health NHS Trust, London, United Kingdom.
JACC. Case reports
|September 5, 2025
まとめ
リステリア・モノサイトゲネスの心筋炎は 希少で生命を脅かす病気です 早期の診断と抗生物質と抗凝固薬による治療は,特に免疫機能低下した患者の回復に不可欠です.
科学分野:
- 心臓病科
- 感染症
- 免疫学
背景:
- リステリア・モノサイトゲネスによる心筋炎は稀だが重症である.
- 免疫抑制療法を受けている全身性白血球症患者はリスクが高い.
- 心筋炎で心房の関与はまれである.
研究 の 目的:
- リステリア・モノサイトゲネスによる心筋炎と心房関節関節関節関節関節関節関節関節関節関節関節関節
- マルチモダリティ イメージングの診断の有用性を強調します.
- 免疫不全患者の感染症の原因を考慮する重要性を強調する.
主な方法:
- 胸の痛みと発熱の 54歳の女性の症例紹介です
- EKG,FDG-PET,心筋MRIを含む診断検査
- 病原体識別のための血液培養
- 抗生物質と抗凝固剤による治療
主要な成果:
- トロポニンとCRPの上昇 ECGの異常
- FDG-PETは右心房の吸収を示した.
- 心臓のMRIでは 右心房の加厚,アキネシア,血栓, 遅いガドリニウム増幅が示されました
- Listeria monocytogenesは 血液培養で確認されました
- 心臓機能障害と血栓の治療に成功しました
結論:
- Listeria monocytogenesは,心房の関わりを持つ生命を脅かす心筋炎を引き起こす可能性があります.
- 多様性イメージングは診断と治療の指針に不可欠です.
- 免疫抑制を開始または継続する前に,感染症の原因は排除されなければならない.
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