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- TAKENO Masayoshi
- Third Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki, Japan
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- SETO Shinji
- Third Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki, Japan
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- KAWAHARA Fumitaka
- Third Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki, Japan
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- YAMACHIKA Shiro
- Third Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki, Japan
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- YANO Katsusuke
- Third Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki, Japan
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- TSUDA Nobuo
- Pathology Division, Nagasaki University Hospital, Nagasaki, Japan
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- YANAGI Tetsuo
- Department of Protozoology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan
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- KANBARA Hiroji
- Department of Protozoology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan
この論文をさがす
抄録
A 57-year-old Japanese-Brazilian man, visiting Japan for only 9 days, was admitted to our hospital due to syncope and frequent ventricular premature beats. He grew up in a rural area of Brazil and moved to Sao Paulo in 1959 when he was 20 years old. We suspected chronic Chagas' heart disease, ie., dilated cardiomyopathy with apical ventricular aneurysm, right bundle branch block with left anterior fascicular block, and various arrhythmias including supraventricular premature beats, ventricular premature beats and non-sustained ventricular tachycardia because he showed typical echo- and electrocardiographic features of the disease. Coronary arteriograms were normal, and left ventriculogram confirmed the existence of apical ventricular aneurysm. A left ventricle biopsy specimen showed hypertrophic cardiac muscle with mild fibrosis. The diagnosis of chronic Chagas' disease was finally confirmed by the demonstration of Trypanosoma cruzi itself in the blood as well as Trypanosoma cruzi antibodies.
収録刊行物
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- Ｊａｐａｎｅｓｅ Ｈｅａｒｔ Ｊｏｕｒｎａｌ
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Ｊａｐａｎｅｓｅ Ｈｅａｒｔ Ｊｏｕｒｎａｌ 40 (3), 375-382, 1999
International Heart Journal刊行会