PDF(Pubmed)
Abstract：
Influenza B infection, although primarily recognized for respiratory symptoms, can lead to rare but severe cardiac complications such as pericardial effusion and cardiac tamponade. We present a case of a 33-year-old female with morbid obesity who initially exhibited flu-like symptoms, was subsequently diagnosed with influenza B infection, and was discharged with symptomatic treatment. Despite initial discharge, she returned with worsening weakness, gastrointestinal symptoms, and shortness of breath. Imaging studies confirmed pericardial effusion with early signs of tamponade, necessitating an emergent intervention. The patient underwent subxiphoid pericardial window and fluid removal, followed by colchicine treatment to prevent recurrence. Our case highlights the importance of recognizing and promptly managing rare influenza-related complications, particularly in patients without significant comorbidities. It underscores the value of a proactive approach, utilizing point-of-care ultrasound and echocardiography for early diagnosis and intervention to mitigate mortality and morbidity risks associated with pericarditis and cardiac tamponade secondary to influenza B.
摘要：
乙型流感感染,虽然主要被认为是呼吸道症状，可导致罕见但严重的心脏并发症，如心包积液和心脏压塞。我们介绍了一例33岁女性病态肥胖患者，最初表现出流感样症状，随后被诊断出感染乙型流感，经对症治疗后出院。尽管最初放电，她带着越来越虚弱的身体回来了，胃肠道症状,呼吸急促.影像学检查证实心包积液有早期填塞征象，需要紧急干预。患者接受了剑突下心包窗和液体清除，其次是秋水仙碱治疗，以防止复发。我们的案例强调了认识和及时管理罕见流感相关并发症的重要性，特别是在没有明显合并症的患者中。它强调了积极主动的方法的价值，利用即时超声和超声心动图进行早期诊断和干预，以减轻与乙型流感继发的心包炎和心脏压塞相关的死亡率和发病率风险
