宫外性偏心病呈现为儿童的大规模心周输液:一种罕见的诊断挑战
Xiaomei Wang1, Junbo Wu2, Juan Huang3
1Department of Laboratory Medicine, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, 430015, P. R. China.
概括
寄生虫感染的帕拉戈尼米阿斯,可以在儿童中引起心周溢出. 使用成像和血清学早期诊断对于预防收缩性心膜炎至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 寄生虫学的寄生虫学
- 心脏病学 心脏病学
背景情况:
- 偏偏是食物传播的寄生虫疾病.
- 它通常会影响肺部,但很少会影响心周.
- 异胎性偏膜病带来了诊断挑战,特别是在儿童中.
研究的目的:
- 报告一例罕见的儿科宫外性帕拉戈尼米亚症病例,呈现为孤立的心周输液.
- 突出诊断挑战并强调关键诊断工具.
- 强调早期识别和干预的重要性,以防止并发症.
主要方法:
- 一个来自中国流行病区的10岁男孩的病例报告.
- 临床表现的分析,实验室发现 (心周液体分析,外围叶绿素,便卵) 和成像 (心声).
- 用普拉齐昆,皮质类固醇治疗,随后进行心脏切除术.
主要成果:
- 患者出现了急性胃肠道症状和巨大的心周输液,没有呼吸道症状.
- 周心液的分析结果是不确定的;外围好色素和便卵子都不存在.
- 心声检查显示了一个"状"的模式;血清学是阳性的Paragonimus IgG.
- 在pericardiectomy后确认了死性颗粒状炎症.
结论:
- 异宫性偏心病呈现为孤立的心周输液是一个诊断挑战.
- 流行病学史,心声学特征和血清学对于诊断至关重要.
- 及时干预至关重要,以防止在特有地区的收缩性心膜炎.
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