呈现为源不明的发烧的右前庭肌瘤:一个罕见的病例报告
Anil Basnet1, Arun Maskey1, Parash Koirala1
1Shahid Gangalal National Heart Centre Kathmandu Nepal.
Clinical case reports
|February 23, 2026
概括
心脏肌瘤是一种罕见的未知源发烧 (FUO) 原因,可以模仿传染病. 早期心声回声学对于诊断这种良性心脏瘤至关重要,特别是在特有地区,使得及时的手术治疗成为可能.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
背景情况:
- 心脏肌瘤是最常见的初级良性心脏瘤.
- 它们通常表现为阻塞性或栓塞性症状.
- 源不明发烧 (FUO) 是一种罕见但未被认可的心肌瘤表现,可能导致诊断延迟.
研究的目的:
- 要突出心脏肌瘤作为FUO的差异诊断.
- 强调热带感染流行地区的诊断挑战.
- 在不明原因的FUO病例中倡导常规心声回声扫描.
主要方法:
- 一个24岁的男性患有持续发烧的病例报告.
- 最初误诊为一种载体传播疾病 (疟疾).
- 心声扫描显示出一个大右心房肌瘤,随后进行了手术切除.
主要成果:
- 对心房肌瘤的手术切除导致了完全的发烧分泌.
- 组织病理学证实心脏肌瘤;微生物学测试呈阴性.
- 患者在手术后完全康复.
结论:
- 在FUO的差异诊断中应考虑心脏肌瘤,特别是在排除感染病因时.
- 在热带地区,由于错误地归因于特有感染,诊断延迟可能会发生.
- 常规回声心脏图谱建议FUO患者有不明原因的心肺症状,以确保早期诊断和治疗.
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