Chronic Chagas Heart Disease in a Japanese-Brazilian Traveler. A Case Report

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概要

• 論文の詳細を見る

• 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.

• Japanese Heart Journal Associationの論文

著者

• Yano Katsusuke

  Third Department of Internal Medicine, Nagasaki University

• Seto Shinji

  Third Department of Internal Medicine, Nagasaki University School of Medicine

• KANBARA Hiroji

  Department of Protozoology, Institute of Tropical Medicine, Nagasaki University

• Kanbara Hiroji

  Department Of Protozoology Institute Of Tropical Medicine Nagasaki University

• Kanbara Hiroji

  長崎大学 第3内科

• TAKENO Masayoshi

  Third Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki, Japan

• KAWAHARA Fumitaka

  Third Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki, Japan

• YAMACHIKA Shiro

  Third Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki, Japan

• TSUDA Nobuo

  Pathology Division, Nagasaki University Hospital, Nagasaki, Japan

• YANAGI Tetsuo

  Department of Protozoology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan

• Kanbara Hiroji

  Department Of Protozoology Institute Of Tropical Medicine

• Yano Katsusuke

  Third Department Of Internal Medicine Nagasaki University

• Kawahara Fumitaka

  Third Department Of Internal Medicine Nagasaki University School Of Medicine

• Yanagi Tetsuo

  Department Of Civil & Ocean Engineering Ehime University

• SETO Shinji

  Third Department of Internal Medicine and Central iagnostic Laboratory, Nagasaki University School of Medicine

• YAMACHIKA Shiro

  Third Department of Internal Medicine, Nagasaki University

• SETO Shinji

  Third Department of Internal Medicine, Nagasaki University School of Medicine, Nagasaki, Japan

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