周心动脉病:在前所未有的腹外表现中解开诊断挑战:一个病例报告
Jacopo Giovacchini1, Silvia Menale1, Valentina Scheggi2
1Department of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, Florence 50134, Italy.
European heart journal. Case reports
|March 8, 2024
概括
这项研究报告了第一个可能患有心周无锡病的病例,这是一种由Anisakis幼虫引起的罕见感染. 患者在治疗后康复,突出显示心周作为这种寄生虫感染的潜在腹外部部位.
科学领域:
- 寄生虫学的寄生虫学
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
背景情况:
- 阿尼萨基斯感染通常通过食用生鱼或未煮熟的鱼类而发生.
- 虽然幼虫通常留在胃肠道,但已有记录显示,幼虫在腹外传播.
- 周心动静脉炎是一种罕见但潜在的并发症.
研究的目的:
- 报告第一个可能患有心周无心病的病例.
- 为了突出心周作为一个不寻常的Anisakis幼虫迁徙地点.
- 告知临床医生关于这种罕见的腹外表现.
主要方法:
- 一个26岁的男性的案例研究,患有心周溢血和心肌炎的症状.
- 诊断调查包括心声回声扫描,心脏MRI,FDG-PET扫描,以及血液检测,以检测eosinophilia和Anisakis简单IgE.
- 治疗包括心周排水,阿尔本达,素和布洛芬.
主要成果:
- 患者在食用生鱼后出现下肢,呼吸不全,心周溢出,并减少了LVEF.
- 观察到持续的乙友爱症和Anisakis简单型IgE的轻微升高.
- 治疗导致心周溢血的解决和乙氨基基蛋白的正常化,随着自发的LVEF恢复.
结论:
- 该病例表明,Anisakis幼虫迁移到心周,导致炎症和排泄.
- 临床医生应考虑在有相关暴露病史和心脏症状的患者中考虑心周无心病.
- 心周体代表了潜在的腹部外部局部化,用于阿尼萨基斯感染.
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