Infected Papillary Fibroelastoma Attached to the Atrial Septum
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概要
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A 61-year-old woman had intermittent fever of 2 months' duration following a dental extraction. On admission, her body temperature was 39.2℃. A mid-systolic murmur was heard at the apex on ausculation. A 2-dimensional echocardiogram revealed a mobile, heavy stick-like mass with vegetation (5.0×1.5 cm) attached to the left atrial septum. Multiple blood cultures grew Streptococcus constellatus. On diagnosis of an infected left atrial myxoma, antibiotics were administered daily and 4 weeks later, the left atrial tumor was resected. The tumor was 5.3cm long, l.5cm in diameter at the inter-atrial wall and had vegetation on the free edge. On microscopic examination, colonies of Gram-positive cocci were found in the thrombus, on the papillary fibroelastoma. After treatment with antibiotics for a further 4 weeks, the patient was discharged. This is the first report of infected papillary fibroelastoma.
- 社団法人日本循環器学会の論文
- 2002-02-20
著者
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NAKANO Takeshi
First Department of Internal Medicine, Mie University School of Medicine
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Koji Takafumi
Department Of Cardiology Mie Central Medical Center
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Koji Takafumi
Department Of Internal Medicine Yamamoto General Hospital
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IMAI Hiroshi
Departments of Cardio-angiology and Emergency and Critical Care Medicine, Kitasato University School
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Fujioka Masaki
Department Of Cardiology Nabari City Hospital
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Fujioka Masaki
Department Of Internal Medicine Yamamoto General Hospital
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TAMEDA Yukihiko
Department of Laboratory Medicine, Mie University School of Medicine
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TAKEUCHI Masaki
Department of Applied Chemistry, Faculty of Engineering, Kanagawa University
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Ichikawa Takehiko
Department of Biotechnology, Graduate School of Engineering, Osaka University
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Komada Takuya
Department of Thoracic Surgery, Mie University
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Sato Fusako
Faculty of medicine, School of Nursing, Mie University
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Nakano Takeshi
First Department Of Internal Medicine Mie University School Of Medicine
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Sato Fusako
Faculty Of Medicine School Of Nursing Mie University
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Komada Takuya
Department Of Thoracic Surgery Mie University
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Komada Takuya
Department Of Thoracic And Cardiovascular Surgery Yamada Red Cross Hospital
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Takeuchi Masaki
Department Of Applied Chemistry Faculty Of Engineering Kanagawa University
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Takeuchi Masaki
Department Of Internal Medicine Yamamoto General Hospital
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Ichikawa Takehiko
Department Of Biotechnology Graduate School Of Engineering Osaka University
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Ichikawa Takehiko
Department Of Internal Medicine Yamamoto General Hospital
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Nakano Takeshi
First Department Of Internal Medicine Mie University
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Tameda Yukihiko
Department Of Internal Medicine Yamamoto General Hospital
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Imai Hiroshi
Departments Of Cardio-angiology And Emergency And Critical Care Medicine Kitasato University School
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Nakano Takeshi
First Department Of Internal Medicine Mie Uiniversity
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Imai Hiroshi
Department Of Bone And Joint Surgery Ehime University Graduate School Of Medicine
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Imai Hiroshi
Department Of Pathology Yamamoto General Hospital
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Imai Hiroshi
Department Of Biological Sciences Graduate School Of Science University Of Tokyo
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Nakano Takeshi
First Dep. Of Int. Med. Mie Univ. School Of Med. Tsu Mie
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