Acute Myocarditis with Positive Enterovirus 71 IgM in a Young Adult

年輕男性罹患心肌炎合併腸病毒71型IgM陽性反應之個案報告

吴孟杰(Meng-Chieh Wu) ； 陳志成(Zhih-Cherng Chen)

《中華民國急救加護醫學會雜誌》 18卷2期 (2007/06) Pp. 85-90

https://doi.org/10.30018/JECCM.200706.0005

摘要

在1998年，台灣全岛各地71型陽病毒肆虐，造成數以千計的民衆感染手足口疾病和疤疹性咽峽炎(herpangina)。此次感染陽病毒的病患多為五歲或五歲以下的孩童及婴兒，至於成年人嚴重感染的情形則為較為罕見。本文報告一位18歲男性病患罹患心肌炎、血清檢驗亦呈現腸病毒71 IgM陽性反應的特徵，這位患者一度出现呼吸衰竭現象而接受氣管插管治療。我們為這位患者施予intra-aortic balloon pumping, 並且给予dopamine用以治療患者的心臓衰竭，還給予血清免疫蛋白(intra-venous immunoglobulin)之處方。這位病患終於痊癒出院，出院五個月後再返院作心臓超音波追蹤檢查，我們發現這位病患整個左心室功能恢復正常，心房心室亦無擴張跡象，健康情况良好。

關鍵字

心肌炎 ； 腸病毒71型IgM

並列摘要

In 1998, an epidemic of enterovirus 71 resulted in hand-foot-and-mouth disease and herpangina among thousands of people in all regions of Taiwan. Most of the patients involved in this infectious outbreak were infants or children who were five years old or younger. The severe condition was uncommon among adults. We report herein on an 18-year-old male patient who suffered from myocarditis, and who had a positive serum enterovirus 71 IgM titer and also respiratory failure post endotracheal intubation. This patient received intra-aortic balloon pumping and was administered dopamine for his heart failure. Intravenous immunoglobulin was also prescribed. The patient was discharged uneventfully. Echocardiography performed five months later revealed adequate left ventricular global performance without chamber dilatation.

並列關鍵字

myocarditis ； enterovirus 71 IgM