Acute peri-myocarditis with an unusual initial manifestation of gallbladder edema and a profound eosinophilic surge during convalescence
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- Zenda Takahiro
- Department of Internal Medicine, Asanogawa General Hospital
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- Araki Ichiro
- Department of Internal Medicine, Asanogawa General Hospital
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- Nakamiya Otoyuki
- Department of Radiology, Asanogawa General Hospital
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- Ogawa Mitsuko
- Department of Clinical Laboratory, Asanogawa General Hospital
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- Higashi Kotaro
- Radiology PET-CT Center, Asanogawa General Hospital
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- Ueno Toshio
- Department of Internal Medicine, Kanazawa Medical Station VieC
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<p>A 29-year-old man with fever and right upper quadrant pain was referred to our hospital. Ultrasonography revealed intense gallbladder edema and pericardial effusion. Despite no symptoms and signs related to heart failure, the patient was clinically suspected of cardiac dysfunction related to acute peri-myocarditis based on his symptoms of preceding fever and headache, pericardial effusion, positive troponin T value, elevated B-type natriuretic peptide level, and sequential changes on electrocardiography. With a profound eosinophilic surge (8,022/µL) during convalescence, acute peri-myocarditis and gallbladder edema resolved spontaneously. This case instructively shows that acute peri-myocarditis initially manifests with abdominal symptoms, mimicking acute acalculous cholecystitis. In addition, an extensive review of acute myocarditis cases with peripheral eosinophilia suggests that there is a subgroup characterized by a predilection for young and middle-aged men, concurrence of pericardial effusion, transient eosinophilic surge during convalescence, and favorable outcome.</p>
収録刊行物
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- 福島医学会
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福島医学会 64 (2), 95-102, 2018
福島医学会
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詳細情報 詳細情報について
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- CRID
- 1390564238017605248
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- NII論文ID
- 130007471447
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- NII書誌ID
- AA0065246X
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- ISSN
- 21854610
- 00162590
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- PubMed
- 30158336
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- IRDB
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可