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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 82(3)

Fulminant myocarditis with myositis of ocular and respiratory muscles

https://doi.org/10.18999/nagjms.82.3.585
https://doi.org/10.18999/nagjms.82.3.585
b1a5c14e-4ba0-4dd2-be99-1562a7d92542
名前 / ファイル ライセンス アクション
20_Hiraiwa.pdf 20_Hiraiwa.pdf (22.8 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2020-09-04
タイトル
タイトル Fulminant myocarditis with myositis of ocular and respiratory muscles
著者 Hiraiwa, Hiroaki

× Hiraiwa, Hiroaki

WEKO 101130

Hiraiwa, Hiroaki

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Furusawa, Kenji

× Furusawa, Kenji

WEKO 101131

Furusawa, Kenji

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Kazama, Shingo

× Kazama, Shingo

WEKO 101132

Kazama, Shingo

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Kimura, Yuki

× Kimura, Yuki

WEKO 101133

Kimura, Yuki

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Shibata, Naoki

× Shibata, Naoki

WEKO 101134

Shibata, Naoki

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Arao, Yoshihito

× Arao, Yoshihito

WEKO 101135

Arao, Yoshihito

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Oishi, Hideo

× Oishi, Hideo

WEKO 101136

Oishi, Hideo

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Kato, Hiroo

× Kato, Hiroo

WEKO 101137

Kato, Hiroo

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Kuwayama, Tasuku

× Kuwayama, Tasuku

WEKO 101138

Kuwayama, Tasuku

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Yamaguchi, Shogo

× Yamaguchi, Shogo

WEKO 101139

Yamaguchi, Shogo

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Kondo, Toru

× Kondo, Toru

WEKO 101140

Kondo, Toru

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Sawamura, Akinori

× Sawamura, Akinori

WEKO 101141

Sawamura, Akinori

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Morimoto, Ryota

× Morimoto, Ryota

WEKO 101142

Morimoto, Ryota

Search repository
Okumura, Takahiro

× Okumura, Takahiro

WEKO 101143

Okumura, Takahiro

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Murohara, Toyoaki

× Murohara, Toyoaki

WEKO 101144

Murohara, Toyoaki

Search repository
キーワード
主題Scheme Other
主題 fulminant myocarditis
キーワード
主題Scheme Other
主題 myositis
キーワード
主題Scheme Other
主題 ocular muscle
キーワード
主題Scheme Other
主題 respiratory muscle
抄録
内容記述 A 46-year-old Japanese woman visited a nearby hospital because of diplopia after flu-like symptoms. One month later, she presented with blepharoptosis and external ophthalmoplegia. Laboratory tests showed a high creatine kinase concentration (3146 U/L). She underwent intravenous immunoglobulin therapy; however, her symptoms did not improve, prompting transfer to our institute. On admission, transthoracic echocardiography revealed 30% of left ventricular ejection fraction and edema of the left ventricular wall. Coronary angiography showed no significant coronary stenosis. An endomyocardial biopsy resulted in a diagnosis of acute myocarditis. On the following day, she needed a temporary pacemaker because she had complete atrioventricular block and intra-aortic balloon pump because of cardiogenic shock. Intravenous immunoglobulin therapy was again administered and her cardiac function gradually recovered. She was successfully weaned off her temporary pacemaker and intra-aortic balloon pump on Day 5 after improvement in her complete atrioventricular block. Steroid therapy administered from Day 9 was effective in reducing her creatine kinase concentrations. However, contrast-enhanced magnetic resonance imaging revealed inflammation of the scalene, semispinalis cervicis, sternocleidomastoid, and intercostal muscles. On Day 25, her cardiac function had recovered to a left ventricular ejection fraction of 59%. Finally, she was successfully discharged on Day 45 after undergoing rehabilitation.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.82.3.585
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/823.html
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ ISSN
収録物識別子 2186-3326
書誌情報 Nagoya Journal of Medical Science

巻 82, 号 3, p. 585-593, 発行日 2020-08
著者版フラグ
値 publisher
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