由于Listeria Monocytogenes而导致的隔离右心室心肌炎
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
概括
这是一种罕见的,危及生命的疾病. 早期诊断和使用抗生素和抗凝剂的治疗对于康复至关重要,特别是在免疫功能低下的患者中.
科学领域:
- 心脏病学
- 传染性疾病
- 免疫学
背景情况:
- 由于Listeria monocytogenes引起的心肌炎是一种罕见但严重的疾病.
- 免疫抑制的全身性红斑狼患者有风险.
- 在心肌炎中,心房受影响不常见.
研究的目的:
- 报告一个罕见的Listeria monocytogenes诱导的心肌炎与心房参与.
- 突出多模式成像的诊断实用性.
- 强调在免疫受损患者中考虑感染原因的重要性.
主要方法:
- 一位54岁的女性胸部疼痛和发烧.
- 诊断工作包括心电图,FDG-PET和心脏MRI.
- 血液培养用于病原体鉴定.
- 用抗生素和抗凝剂进行治疗.
主要成果:
- 血红蛋白和血红蛋白升高,心电图异常.
- FDG-PET显示右心房吸收.
- 心脏核磁共振显示右心房变厚,动脉动脉,血栓,以及晚期加多增强.
- 在血液培养物中发现了Listeria monocytogenes.
- 心脏功能障碍和血栓的成功治疗.
结论:
- 利斯特里亚单细胞菌可能导致危及生命的心肌炎和心房干扰.
- 多模式成像对于诊断和治疗指导至关重要.
- 在开始或继续免疫抑制之前,必须排除感染病因.
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