지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Fulminant myocarditis is characterized by critical illness at presentation. However, if affected patients recover with pharmacologic therapy and mechanical circulatory support, they may have a better long-term prognosis than patients with other forms of myocarditis. A 31-year-old man was admitted due to chest pain associated with dyspnea. Electrocardiogram showed ST-segment elevation in all leads except for aVR and aVL. Non-sustained ventricular tachycardia developed 12 hours after admission. The echocardiography showed diffuse hypokinesia, concentric edematous thickening of the left ventricular wall, and pericardial effusion. Serum cardiac enzymes and absolute eosinophil count were elevated. Since the ELISA (Enzyme-Linked Immunosorbent Assay) against Paragonimus westermani was positive, the patient was treated with praziquantel for 2 days. Eosinophil count normalized after 10 days, with conversion to negativity on ELISA after 4 weeks. We concluded that his myocarditis was probably caused by allergic reaction secondary to Paragonimus westermani infection. (Korean J Med 74:451-456, 2008)
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Chung BY / 1999 / Clinical features and prognosis according to the left ventricular function in the patients with acute myocarditis / J Korean Soc Echocardiogr 7 : 38 ~ 45
Felker GM / 2000 / Echocardiographic finding in fulminant and acute myocarditis / J Am Coll Cardiol 36 : 227 ~ 232
Galiuto L / 1997 / Eosinophilic myocarditis manifesting as myocardial infarction: eearly dignosis and successful treatment / Mayo Clin Proc 72 : 603 ~ 610
Hauck AJ / 1989 / Evaluation of postmortem endomyocardial biopsy specimens frome 38 patients with lymphocytic myocarditis: implications for role of sampling error / Mayo Cli
Hiramitsu S / 2001 / Transient ventricular wall thickening in acute myocarditis: a serial echocardiographic and histopathologic study / Jpn Circ J 65 : 863 ~ 866
Felker GM / 2000 / Echocardiographic finding in fulminant and acute myocarditis / J Am Coll Cardiol 36 : 227 ~ 232
Galiuto L / 1997 / Eosinophilic myocarditis manifesting as myocardial infarction: eearly dignosis and successful treatment / Mayo Clin Proc 72 : 603 ~ 610
Hauck AJ / 1989 / Evaluation of postmortem endomyocardial biopsy specimens frome 38 patients with lymphocytic myocarditis: implications for role of sampling error / Mayo Cli
Hiramitsu S / 2001 / Transient ventricular wall thickening in acute myocarditis: a serial echocardiographic and histopathologic study / Jpn Circ J 65 : 863 ~ 866
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