细小病毒B19致心肌炎伴双室功能障碍1例

Lisa Ferraza, P. Carvalhoa, D. Carvalhoa, Ana Faustinoa, R. Ferreiraa, Ana Briosaa
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引用次数: 0

摘要

摘要导读:由于心肌炎临床表现的异质性,其诊断常常是一个挑战。心脏磁共振成像是诊断和判断患者预后所必需的重要诊断工具。虽然很少使用,心内膜肌活检是金标准的诊断方法。临床病例:我们提出一个29岁的男子诊断为心肌炎,后来发展成严重的双心室收缩功能抑制的情况。心肌膜活检显示细小病毒B19感染。治疗左心室功能障碍后,整体收缩功能恢复。
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Myocarditis with Biventricular Dysfunction Caused by Parvovirus B19 – A case report
ABSTRACT Introduction: Myocarditis is often a diagnostic challenge given the heterogeneity of the clinical presentation. Cardiac magnetic resonance imaging is an important diagnostic tool required for the diagnosis as well as detecting the prognosis of the patient. Although rarely used, an endomyocardial biopsy is the gold standard diagnostic method. Clinical case: We present the case of a 29-year old man diagnosed with myocarditis who later developed severe depression of biventricular systolic function. An endomyocardial biopsy was performed, which revealed a parvovirus B19 infection. After treatment of the left ventricular dysfunction, the global systolic function was recovered.
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