完全性心脏传导阻滞与80岁妇女腮腺炎心肌炎相关

Ş. Özdinç, M. Tekin, Gülay Özkeçeci, G. Aşık, O. Oruc
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摘要

腮腺炎是一种急性、自限性、高度传染性的全身性病毒性疾病,以腮腺肿胀为特征。它在学龄儿童中更为常见。我们想在这个病例报告中强调,腮腺炎也可以发生在老年人中,并引起致命和罕见的并发症,如腮腺炎心肌炎相关的完全性AV传导阻滞。病例报告:一名80岁妇女因右耳周围肿胀、疲劳、虚弱、头晕、晕厥前期和胸痛等主诉入住急诊室。她的孙子在她自己发病前大约2周左右曾出现左右耳发热和肿胀。她的体温是37.5°C。血压120/60 mmHg,脉搏37次/分。心电图显示右侧腮腺肿大,完全房室传导阻滞。该患者接受了心脏科医生的咨询,并被转到心脏科诊所。结论:腮腺炎最常见于儿童,最常见的疾病表现为腮腺炎。然而,它可能发生在老年人身上,并导致致命的并发症。
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Complete Heart Block Related to Mumps Myocarditis in an 80-Year-Old Woman
Introduction: Mumps is an acute, self-limited, highly infectious, systemic viral disease characterized by a swelling of the parotid glands. It is more common in school-aged children. We want to emphasize in this case report that mumps can also occur in old people and cause a mortal and rare complication such as complete AV block associated with mumps myocarditis. Case Report: An 80-year-old woman admitted to the emergency room with complaints of swelling around the right ear, fatigue, weakness, dizziness, presyncope, and chest pain. Her grandson had had a fever and swelling around the right and left ear approximately 2 weeks before the beginning of her own ailment. Her core temperature was 37.5°C. Blood pressure was 120/60 mmHg and pulse rate was 37 beats/min. There was swelling of the right parotid gland and complete atrioventricular block in her electrocardiogram. The patient was consulted with a cardiolog and transferred to the cardiology clinic. Conclusion: Mumps is most commonly occurs in children, and the most common presentation of the disease is parotitis. However, it may occur in elders and result in mortal complications.
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