一个异常的寄生性约束性心周炎病例
Ankit Agrawal1, Ashwin K Kumar1, Muhammad Majid1
1Center for the Diagnosis and Treatment of Pericardial Diseases, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
JACC. Case reports
|October 4, 2023
概括
由Strongyloides Stercoralis引起的寄生性收缩性心膜炎是罕见的. 艾弗梅克丁和心周切除术的治疗导致75岁的男性显著改善.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 寄生虫学的寄生虫学
背景情况:
- 收缩性心膜炎是一种严重的心脏疾病,通常是由病毒感染,结核病或异常因素引起的.
- 寄生虫感染,特别是Strongyloides Stercoralis,不常见,但已被认为是心周病的原因.
- 早期诊断和适当的治疗对于改善狭性心膜炎患者的结果至关重要.
研究的目的:
- 报告一种罕见的因Strongyloides Stercoralis引起的收缩性心膜炎病例.
- 为了说明这种情况的诊断和治疗方法.
主要方法:
- 多模式成像用于诊断收缩性心膜炎.
- 血清学证实了Strongyloides Stercoralis感染的情况.
- 治疗涉及甲和激进心脏切除术.
主要成果:
- 患者出现呼吸不良,,和脚踏胀.
- 通过成像和血清学证实了诊断.
- 在治疗后观察到显著的临床改善.
结论:
- 斯特朗基洛伊德 (Strongyloides Stercoralis) 可以导致收缩性心膜炎.
- 结合抗寄生虫和手术治疗可能是有效的.
- 早期诊断和干预对于患者的治疗结果至关重要.
相关概念视频
Pericarditis I: Introduction
11
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
11
Pericarditis III: Medical Management
13
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
13
Pericarditis II: Clinical Features and Diagnostic Tests
9
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
9
Cardiomyopathy IV: Restrictive Cardiomyopathy
12
Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
12
Pericarditis IV: Nursing Management
19
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
19
Cardiomyopathy III: Hypertrophic Cardiomyopathy
16
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
16


