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与Bartonella henselae感染相关的急性周心肌炎

David G J Cucchi¹, Annebel Govers², Frank H Janse³

¹Internal Medicine, Franciscus Gasthuis en Vlietland, Rotterdam, Zuid-Holland, Netherlands d.cucchi@franciscus.nl.

BMJ case reports

|November 21, 2023

概括

巴托内拉汉塞拉会引起心周炎和心力衰竭,即使在免疫能力强的人身上也是如此. 这一案例凸显了需要考虑这种心脏炎症的细菌原因的必要性,特别是在猫接触时.

科学领域:

心脏病学心脏病学
传染性疾病传染性疾病
细菌学细菌学是一门学科.

背景情况:

周心肌炎,心脏和周围组织的炎症,可以导致左心室喷射率降低和心力衰竭.
虽然常常是病毒性,但围心肌炎的细菌性原因也存在,而 *Bartonella henselae * 是一种罕见但严重的病原体.
主要因引起猫病而闻名的B. henselae*对心脏的影响往往被低估.

研究的目的:

报告一种急性心力衰竭病例,该病例是由于*Bartonella henselae*相关的周心肌炎导致的,该病例发生在一个免疫能力强的成年人身上.
强调考虑*B. henselae*作为周心肌炎的潜在原因的重要性.
要突出与B. henselae相关的心脏病的不同临床表现.

主要方法:

一个患有急性心力衰竭的患者的病例报告介绍.
临床评估包括病史,体检和诊断工作.
鉴定Bartonella henselae作为致病原体.

主要成果:

一个具有免疫能力的中年男性出现了急性心力衰竭.
该患者被诊断患有周心肌炎,归因于Bartonella henselae感染.
心脏功能障碍与细菌病原体有关,尽管没有被召回的猫痕或咬伤史.

结论:

*Bartonella henselae*可以表现为严重的心脏病,包括周心肌炎和心力衰竭.
医生应考虑*B. henselae*在周心肌炎的差异诊断中,特别是在可能接触猫的个体中.
这一案例强调了B. henselae在心脏病理学中的低估作用.

关键词:

心脏衰竭是因为心脏衰竭.传染病传染病传染病

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