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Tuberculous Serositis Coexisting with Reversible High-Grade Atrioventricular Block

結核性漿膜炎併發可逆性高度房室傳導阻滯

摘要


我們報告兩位年輕男性罹患結核性漿膜炎,而併發高度房室傳導阻滯的個案。相對於過去大多數報告因結核病引起的心臟傳導異常,多為不可送的破壞性病變,本報告的兩例個案在抗結核藥物治療下經一段時間的觀察後,自然恢復傳導功能,證實結核菌感染亦可併發可逆性心臟傳導阻滯,這個現象過去鮮有報導,對於處理結核病人併有新生傳導阻滯的醫師而言,該現象亦有其臨床的重要性。

並列摘要


We report two young male patients with documented tuberculous serositis that were complicated with high-degree atrioventricular block (AV block) during the course of the disease. In contrast to the previously reported irreversible nature of tuberculosis-related AV block, these conduction abnormalities in our cases resolved spontaneously under antituberculosis treatment. Such reversible tuberculosis-related AV block, to our knowledge, has never been reported before and could be important for physicians who treat patients with tuberculosis and newly-developed conduction block.

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