A Highly Suspected Case of Chronic Chagas' Heart Disease Diagnosed in Japan
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概要
- 論文の詳細を見る
A 50-year-old South American Indian woman, a native of Brazil and now a resident of Shiga Prefecture, was admitted to our hospital because of dyspnea on exertion. We initially suspected dilated cardiomyopathy due to an enlarged and diffusely hypokinetic left ventricle (LV) on echocardiogram. Coronary arteriograms were normal, and histological examination of right ventricular endomyocardial biopsy specimens showed findings compatible with chronic myocarditis. Magnetic resonance imaging revealed localized thinning and a small apical aneurysm at the LV. Since she had previously lived in a high-risk region for Chagas' disease, two immunological examinations for Trypanosoma cruzi were performed. The results of both tests were compatible with the disease. Recently, an increasing number of patients with Chagas' disease have been found in the United States among immigrants from South American countries, and the risk of transmission of the disease through contaminated blood transfusion is becoming a national problem. We report this case with reference to the present state of the problem in the United States and the potential problems it presents in Japan because of the marked increase in the number of immigrants from the affected area.
- 社団法人日本循環器学会の論文
- 1995-03-20
著者
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Takeuchi Tsutomu
Department of Parasitology, School of Medicine, Keio University
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Kinoshita Masahiko
Division Of Cardiology Department Of Medicine Shiga University Of Medical Science
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Kinoshita Masahiko
The First Department of Internal Medicine, Shiga University of Medical Science
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Tsutamoto Takayoshi
Department Of Cardiovascular And Respiratory Medicine Shiga University Of Medical Science
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Kinoshita Masahiko
Yabase Central Hospital
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Ueno Yoshiki
Division of Cardiology, Department of Medicine, Shiga University of Medical Science
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Nakamura Yasuyuki
Heart Rhythm Center Department Of Cardiovascular Medicine Shiga University Of Medical Science
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Ueno Yoshiki
The First Department of Internal Medicine, Shiga University of Medical Science
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Nakamura Yasuyuki
The First Department of Internal Medicine, Shiga University of Medical Science
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Takahashi Masayuki
The First Department of Internal Medicine, Shiga University of Medical Science
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Inoue Tohru
The First Department of Internal Medicine, Shiga University of Medical Science
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Endo Shigeru
The First Department of Internal Medicine, Shiga University of Medical Science
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Inoue Tohru
The First Department Of Internal Medicine Shiga University Of Medical Science
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Kinoshita Masahiko
The First Department Of Internal Medicine Shiga Medical College
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Takeuchi Tsutomu
First Depertment Of Internal Medicine Shiga University Of Medical Science
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Ueno Yoshiki
Division Of Cardiology Department Of Medicine Shiga University Of Medical Science
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Ueno Yoshiki
First Department Of Internal Medicine Shiga University Of Medical Science
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Klnoshita Masahiko
First Department Of Internal Medicine Shiga University Of Medical Science
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Endo Shigeru
The First Department Of Internal Medicine Shiga University Of Medical Science
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Takeuchi Tsutomu
Department Of Obstetrics And Gynecology Tokyo Rinkai Hospital
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Kinoshita Masahiko
The First Department Of Internal Medicine
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Takahashi Masayuki
The First Department Of Internal Medicine Shiga University Of Medical Science
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Takeuchi Tsutomu
Department Of Astronomy Faculty Of Science Kyoto University
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