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- W2122809310 abstract "La trichinose ou trichinellose, nématodose cosmopolite mais rare dans les pays développés, peut se compliquer de manifestations cardiaques. La myocardite en représente la forme la plus fréquente. Les auteurs rapportent l’observation d’un patient âgé de 36 ans, ayant présenté au cours d’une trichinellose, des modifications électrocardiographiques et une élévation de la troponine I en l’absence de point d’appel clinique cardiovasculaire. L’imagerie par résonance magnétique (IRM) après injection de gadolinium, met en évidence un rehaussement tardif sous-épicardique permettant de confirmer le diagnostic de myocardite. Les anomalies paracliniques se sont corrigées progressivement après la mise en route du traitement antiparasitaire. Devant toute trichinellose, la recherche systématique d’une myocardite doit être réalisée. Les arguments cliniques, l’ECG, le dosage de la troponine I font évoquer le diagnostic de myocardite. La réalisation d’une IRM cardiaque, examen non invasif, permet de le confirmer. Trichinellosis is a cosmopolitan nematodosis which is rare in the developed countries. Myocarditis represents the most frequent form of cardiac complications , sometimes lethal. The authors report the observation of a 36-years-old patient admitted for trichinellosis, who presented asymptomatic electrocardiographic modifications and a rise in the troponine I. The magnetic resonance imaging (MRI) after gadolinium injection, highlighted an underepicardic late raising rendering the diagnosis of myocarditis highly probable. The paraclinic anomalies were corrected gradually under antiparasitarian treatment. Besides the EKG, the MRI is a non-invasive and repetitive method allowing as well the positive diagnosis as the follow-up of those patients." @default.
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- W2122809310 date "2008-04-01" @default.
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- W2122809310 title "Myocardite àTrichinella spiralis : à propos d’un cas" @default.
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- W2122809310 doi "https://doi.org/10.1016/j.ancard.2007.09.012" @default.
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