A case of fulminant eosinophilic myocarditis

DOI
  • Tsuneto Akira
    Department of Cardiovascular Medicine, Course of Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University
  • Kawano Hiroaki
    Department of Cardiovascular Medicine, Course of Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University
  • Kaneko Masayuki
    Department of Cardiovascular Medicine, Course of Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University
  • Yonekura Tsuyoshi
    Department of Cardiovascular Medicine, Course of Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University
  • Sato Osami
    Department of Cardiovascular Medicine, Course of Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University
  • Tanaka Kiyoe
    Department of Cardiovascular Medicine, Course of Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University
  • Takeno Masayoshi
    Department of Cardiovascular Medicine, Course of Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University
  • Koide Yuji
    Department of Cardiovascular Medicine, Course of Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University
  • Seto Shinji
    Department of Cardiovascular Medicine, Course of Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University
  • Yano Katsusuke
    Department of Cardiovascular Medicine, Course of Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University
  • Kawakami Atsushi
    Department of Immunology and Rheumatology, Course of Medical and Dental Sciences, Graduate School of Biomedical Sciences, Nagasaki University
  • Hayashi Tomayoshi
    Department of Pathology, Nagasaki University Hospital of Medicine and Dentistry

Bibliographic Information

Other Title
  • HEART's Original [症例] 劇症型好酸球性心筋炎の1例

Abstract

症例は41歳,男性.既往歴にペニシリンアレルギーと気管支喘息あり.<br>数日前より感冒症状にて近医へ通院していたが,心不全症状出現し当院へ入院.心電図にて広範なST上昇を認め,心エコーにて全周性左室壁運動低下を認めたため,緊急心臓カテーテル検査を実施.冠動脈に狭窄を認めず,急性心筋炎を疑い心内膜心筋生検を施行した.その後血圧低下あり経皮的心肺補助装置(PCPS)を導入.心筋生検の結果,劇症型好酸球性心筋炎と診断し,ステロイド療法を開始した.治療開始後,左室収縮能は回復しPCPSを離脱,ステロイドを漸減し,2カ月後には退院して社会復帰した.<br>劇症型好酸球性心筋炎に対するステロイド療法の早期開始にあたり,心内膜心筋生検を早期に実施する重要性が示唆された,貴重な症例と考えられた.

Journal

  • Shinzo

    Shinzo 40 (4), 394-400, 2008

    Japan Heart Foundation

Keywords

Details 詳細情報について

  • CRID
    1390282680468717312
  • NII Article ID
    130004416261
  • DOI
    10.11281/shinzo1969.40.4_394
  • ISSN
    05864488
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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