摘要
1 病例资料41岁男性,因'发现尿糖、尿酮升高1 d'入院。患者入院前日无明显诱因出现恶心、非喷射样呕吐,呕吐物为胃内容物,不伴发热、头痛,无心悸、胸闷、胸痛症状,亦无腹胀、腹痛症状。于次日凌晨3时开始出现口干、多饮,伴双侧腰背部胀痛。就诊于当地医院,行心电图及腹部CT检查未见明显异常,予以胃肠减压、抗感染及补液治疗(具体不详)。
Fulminant type 1 diabetes is a new subtype of 1 B diabetes characterized by sudden onset,which associated with viral infection.We describe the case of a 41-year-old man with FT1 DM complicated with acute myocarditis.The patient was admitted with diabetic ketoacidosis followed by chest pain the next day.Myocardial damage was suspected based on T wave changes on electrocardiogram and elevated cardiac troponin I level.However,coronary angiography revealed no abnormality in the coronary arteries.We diagnosed acute myocarditis by a combination of echocardiography and cardiovascular magnetic resonance imaging(CMR).The patient was successfully treated,and one month later,an echocardiogram showed normal function of the left ventricle.We theroized that the concomitant FT1 DM and myocarditis exhibited by our patient may share some kind of virus infection.While cardiac muscle biopsy is not able to performed,this case demonstrates that a combination of non-invasive techniques,especially CMR,may help us to make a correct diagnosis of myocarditis.
作者
秦瑾
钱明明
邹远林
彭丹
QIN Jin;QIAN Mingming;ZOU Yuanlin;PENG Dan(Department of Cardiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430030,China;Department of Cardiology,The Central Hospital of Wuhan;Department of Nuclear Medicine,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430030,China)
出处
《临床心血管病杂志》
CAS
北大核心
2019年第5期479-482,共4页
Journal of Clinical Cardiology
关键词
糖尿病
1型
暴发性
心肌炎
心血管磁共振影像
fulminant type 1 diabetes mellitus
myocarditis
cardiovascular magnetic resonance imaging
