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首页> 外文期刊>Case Reports in Cardiology >A Young Male with Severe Myocarditis and Skeletal Muscle Myositis
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A Young Male with Severe Myocarditis and Skeletal Muscle Myositis

机译：一位患有严重心肌炎和骨骼肌肌炎的年轻男性

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A 34-year-old male presented with retrosternal chest pain, fatigue, shortness of breath, and a history of a previous episode of myocarditis four years prior. He had elevated troponin T, normal skeletal muscle enzymes, and negative inflammatory markers. Cardiac magnetic resonance imaging (MRI) confirmed active myocarditis with extensive myocardial fibrosis and normal left ventricular ejection fraction (LVEF). His myocarditis symptoms resolved with steroids and anti-inflammatory treatment, but on closer questioning, he reported a vague history of long-standing calf discomfort associated with episodes of stiffness, fatigue, and flu-like symptoms. MRI of the lower legs consequently demonstrated active myositis in the calf muscles. Immunomodulatory therapy was commenced with good effect. The patient is undergoing regular follow-up in both cardiology and rheumatology outpatient departments. Repeated MRI of the legs showed significant interval improvement in his skeletal muscle myositis, and repeat cardiac MRI demonstrated the resolution of myocarditis along with persistent stable extensive myocardial fibrosis and preserved LVEF. The patient has returned to full-time work.
机译：一名34岁的男性表现出胸骨后胸痛，疲劳，呼吸急促，并在4年前曾有过心肌炎的病史。他的肌钙蛋白T升高，骨骼肌酶正常且炎症标记阴性。心脏磁共振成像（MRI）证实为活动性心肌炎，并伴有广泛的心肌纤维化和正常的左心室射血分数（LVEF）。他的心肌炎症状通过类固醇和抗炎治疗得以解决，但在进一步的质疑中，他报告了长期存在的小腿不适，伴有僵硬，疲劳和流感样症状，这是一个模糊的历史。小腿的MRI结果显示小腿肌肉活动性肌炎。开始免疫调节治疗，效果良好。该患者正在心脏病和风湿病门诊接受定期随访。腿部重复MRI显示其骨骼肌肌炎的间隔明显改善，心脏重复MRI显示心肌炎的消退以及持续稳定的广泛性心肌纤维化和LVEF得以保留。患者已恢复全职工作。

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