张小朵?李荣

    【摘要】 急性心肌炎是由各种原因引起的心肌急性炎症性病变。部分急性心肌炎可引起胸痛、心肌酶及心电图的动态改变，与AMI临床症状类似。恙虫病是由恙虫病立克次体引起的一种急性疫源性传染病，恙虫病感染可引起心肌弥漫间质性炎症病变。恙虫病感染致病的临床表现多样，易出现漏诊误诊。该文报道了1例酷似AMI的恙虫病感染致急性心肌炎患者的诊治过程，探讨了恙虫病感染致急性心肌炎的发病特点及其相关机制。临床医师应提高对恙虫病感染的认识，早期识别并积极治疗。

    【关键词】 急性心肌炎;恙虫病;急性心肌梗死;心电图

    Acute myocarditis caused by tsutsugamushi infection mimicking acute myocardial infarction： a case report Zhang Xiaoduo△， Li Rong. △Shenzhen Bao′an Hospital of Traditional Chinese Medicine， Shenzhen 518101， China

    【Abstract】 Acute myocarditis is an acute inflammatory disease of the myocardium induced by various causes. Partial acute myocarditis can cause chest pain， dynamic changes of myocardial enzymes and electrocardiogram， which mimick clinical symptoms of acute myocardial infarction. Tsutsugamushi infection is an acute infectious disease caused by Rickettsia tsutsugamushi， which can lead to diffuse interstitial inflammation of the myocardium. Tsutsugamushi disease presents with various clinical manifestations ......