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Vol.64 (2018) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/700

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Title: Acute peri-myocarditis with an unusual initial manifestation of gallbladder edema and a profound eosinophilic surge during convalescence
Authors: Zenda, Takahiro
Araki, Ichiro
Nakamiya, Otoyuki
Ogawa, Mitsuko
Higashi, Kotaro
Ueno, Toshio
Source title: Fukushima Journal of Medical Science
Volume: 64
Issue: 2
Start page: 95
End page: 102
Issue Date: 2018
Abstract: 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.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/700
Full text URL: https://ir.fmu.ac.jp/dspace/bitstream/123456789/700/1/FksmJMedSci_64_p95.pdf
ISSN: 0016-2590
2185-4610
DOI: 10.5387/fms.2018-08
PubMed ID: 30158336
Related Page: https://doi.org/10.5387/fms.2018-08
Rights: © 2018 The Fukushima Society of Medical Science
Appears in Collections:Vol.64 (2018)

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FksmJMedSci_64_p95.pdf1.5 MBAdobe PDFDownload

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