<b>A case of effective anti-tuberculous therapy for effusive constrictive pericarditi</b><b>s </b>
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- Yoshida Masahiro
- Department of Cardiology, JCHO Chukyo Hospital
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- Mizuno Chiaki
- Department of Cardiology, JCHO Chukyo Hospital
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- Yogo Mina
- Department of Cardiology, JCHO Chukyo Hospital
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- Tsurumi Naoki
- Department of Cardiology, JCHO Chukyo Hospital
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- Kato Hiroyuki
- Department of Cardiology, JCHO Chukyo Hospital
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- Okada Takuya
- Department of Cardiology, JCHO Chukyo Hospital
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- Murakami Hisashi
- Department of Cardiology, JCHO Chukyo Hospital
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- Kada Kenji
- Department of Cardiology, JCHO Chukyo Hospital
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- Tuboi Naoya
- Department of Cardiology, JCHO Chukyo Hospital
Bibliographic Information
- Other Title
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- <b>抗結核薬が有効であった effusive constrictive pericarditisの1</b><b>例 </b>
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Abstract
<p>症例は66歳の女性.既往歴は体質性黄疸と慢性無痛性甲状腺炎.倦怠感と腹部膨満感を主訴に来院,画像検査で中等量の心囊水と胸・腹水貯留を認め,精査目的で入院した.各種血液,画像精査で悪性腫瘍,甲状腺機能低下症,膠原病等を認めず,病状の改善がないため,心囊穿刺と穿刺前後の左室右室同時圧測定を施行した.右室圧波形はdip and plateauで穿刺後も拡張期圧低下を認めなかったため,effusive constrictive pericarditisの診断に至った.心囊液の結核菌Polymerase chain reaction:PCRは陰性だったが,adenosine deaminase:ADA高値であることから結核性心膜炎を考慮し,抗結核薬を開始した.治療開始3週間後の右心カテーテル検査では右室拡張末期圧低下,胸水や浮腫の改善を認めた.</p><p> Effusive constrictive pericarditisは臓側心外膜の硬化と心囊水貯留をきたす疾患で,急性心膜炎を起こす原因疾患すべてが原因となりうる.結核性であっても心囊水の結核菌塗沫,PCR,培養の陽性率は低い.抗結核薬治療の効果判定に右心カテーテル検査が有用であった.</p>
Journal
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- Shinzo
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Shinzo 49 (12), 1249-1254, 2017-12-15
Japan Heart Foundation
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Keywords
Details 詳細情報について
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- CRID
- 1390564238068104704
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- NII Article ID
- 130007580218
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- ISSN
- 21863016
- 05864488
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed