| Japanese |
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| Title | インフルエンザの経過中に発症した急性心筋炎の1治験例 |
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| Subtitle | 症例 |
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| Authors | 高橋順一郎*, 合田俊宏*, 村上泰治*, 奥出潤*, 佐々木重幸**, 安田慶秀*** |
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| Authors(kana) | |
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| Organization | *愛心メモリアル病院心臓血管外科, **北海道医療大学看護福祉学部生命基礎科学講座, ***北海道大学大学院医学研究科循環器外科 |
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| Journal | 循環制御 |
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| Volume | 23 |
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| Number | 1 |
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| Page | 52-57 |
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| Year/Month | 2002/ |
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| Article | 報告 |
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| Publisher | 日本循環制御医学会 |
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| Abstract | はじめに 種々のウイルス感染症に急性心筋炎や心膜炎が合併することがあり, しばしば急激な経過をとって死亡することがある. インフルエンザ感染症においても心筋炎や心膜炎がときに合併することは以前から指摘されているが1,2）, インフルエンザ心筋炎の症例報告はきわめて少ない. 今回, インフルエンザの経過中に急性心筋炎を発症し, 急性期に経皮的心肺補助（以下PCPS）を使用して救命し得た1例を経験したので報告する. 症例 患者は71歳, 身長170cm, 体重84kgの男性で, 全身倦怠感と咳嗽を主訴に来院した. 4年前より前立腺肥大および5か月前より高血圧にて内服治療中であった. 入院前日より咽頭痛, 咳嗽および全身倦怠感が出現し当院受診. 胸部X線上, 右下肺野に浸潤影認められ, 全身倦怠感も増悪傾向のため入院となった. 栄養は良好で, 意識清明, 脈拍120/分で整, 血圧174/84, 体温38.7℃で, 皮膚に貧血や浮腫はなかった. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | Influenza, Myocarditis, PCPS |
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| English |
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| Title | A Case of Acute Myocarditis in the Course of Influenza A Virus infection |
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| Authors | Jun'ichiro Takahashi*, Toshihiro Goda*, Taiji Murakami*, Jun Okude*, Shigeyuki Sasaki**, Keishu Yasuda*** |
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| Organization | *Division of Cardiovascular Surgery, Aishin Memorial Hospital, Medical Association of Aishinkan, **Division of Medical Sciences, School of Nursing and Social Services, Health Sciences University of Hokkaido, ***Department of Cardiovascular Surgery, Hokkaido University Graduate School of Medicine |
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| Journal | Circulation Control |
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| Volume | 23 |
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| Number | 1 |
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| Page | 52-57 |
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| Year/Month | 2002/ |
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| Article | Report |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | We report a case of acute myocarditis developed in the course of influenza A virus infection. A 71-year-old male had malaise and fever since the day before admission. Infection with influenza A （H3） was confirmed by the laboratory test on the day of admission. He underwent a tracheal intubation due to pulmonary congestion and hypoxia the next day. On the 9th day he developed a circulatory collapse with the elevation of serum CK and CKMB levels but was successfully treated with percutaneous cardiopulmonary bypass support （PCPS） . He was weaned from PCPS on the 11th day and discharged from hospital on the 90th day without neurologic sequelae. The diagnosis of acute myocarditis is evident according to the diagnostic criteria proposed by the Ministry of Welfare, but diagnosis of myocarditis associated with influenza A virus infection cannot be made due to the lack of endocardial biopsy. It is difficult to identify risk factors to develop acute myocarditis in patients with influenza A virus infection, but every attempt to detect signs of heart failure, proper assessment of hemodynamic conditions, and timely introduction of the necessary inotropic support are all essential to improve the patients’ survival. |
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| Practice | Basic medicine |
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| Keywords | Influenza, Myocarditis, PCPS |
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