[Carditis associated with Mycoplasma pneumoniae infection. Clinical aspects and therapeutic problems].
A clinical case of carditis associated with Mycoplasma pneumoniae infection in a 65 year-old woman is reported in order to stress some clinical features and therapeutic problems; during a 5-year follow-up. On the basis of this experience it is possible to state that in the pathogenesis an autoimmune mechanism probably plays an important role, whereas in therapy specific antibiotics are not effective and a long-term treatment with anti-inflammatory drugs is necessary.
Prattichizzo
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Unità Operativa di Medicina Interna, San Miniato (PI), Azienda USL 11, Empoli.
Simonetti
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Galetta
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D000368:Aged; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D017291:Clarithromycin / Q000627:therapeutic use; D004305:Dose-Response Relationship, Drug; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009175:Mycoplasma Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D009177:Mycoplasma pneumoniae / Q000187:drug effects; D009205:Myocarditis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D010493:Pericarditis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D014700:Verapamil / Q000627:therapeutic use
D000889:Anti-Arrhythmia Agents; D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D014700:Verapamil; D017291:Clarithromycin