由于寄生虫感染而引起的乳酸性心肌炎:基于病例的小型审查
Thang Viet Luong1, Tien Anh Hoang1, Nong Ni Pham1
1Department of Internal Medicine, University of Medicine and Pharmacy, Hue University, Hue 530000, Viet Nam.
World journal of cardiology
|June 27, 2025
概括
寄生虫感染可能导致eosinophilic心肌炎 (EM),一种罕见的心脏炎症. 及时诊断和治疗,包括皮质类固醇和抗寄生素药物,对于恢复至关重要,特别是在特有地区.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 病理学 病理学 病理学
背景情况:
- 生性心肌炎 (EM) 是一种罕见的心脏炎症状况,以生性透为特征.
- 虽然存在各种原因,但寄生虫感染代表了一种不常见但至关重要的病因.
- 本综述强调了一例EM病例,该病例与来自越南的患者多次寄生虫感染有关.
研究的目的:
- 审查47岁男性寄生虫诱导的EM病例.
- 讨论寄生虫诱导的EM病理生理学,诊断和治疗.
- 强调早期诊断和特制治疗在流行地区的重要性.
主要方法:
- 一个EM患者的病例报告分析.
- 关于寄生虫感染和EM的文献综述.
- 讨论诊断和治疗策略.
主要成果:
- 一名患有EM引起的严重胸痛的患者,与Schistosoma spp.,Strongyloides stercoralis和Toxocara spp.相关,完全康复.
- 皮质类固醇和阿尔本达在治疗中有效.
- 寄生虫感染是EM的关键原因,尽管不常见.
结论:
- 寄生虫感染应在EM的差异诊断中考虑,特别是在特有地区.
- 早期和准确的诊断,其次是针对性的抗寄生虫和抗炎疗法,可以改善患者的治疗结果.
- 对寄生虫诱导的EM进行进一步研究是有必要的,以优化管理策略.
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