| ID | 98229 |
| タイトルヨミ | ヒトパルボウイルス B19 ニヨル キュウセイ シンフゼン ガ ウタガワレタ 5ショウレイ ノ リンショウテキ ケントウ
|
| タイトル別表記 | Clinical studies on 5 adult patients of suspected acute heart failure due to human parvovirus B19 infection
|
| 著者 |
三谷, 裕昭
三谷内科
|
| キーワード | Parvovirus B19
heart failure
anemia
nephritis
|
| 資料タイプ |
学術雑誌論文
|
| 抄録 | The clinical and laboratory findings of 5 adult patients with recent human parvovirus B19 infection in Anan city （from January to February 2005） were reported. They showed local and generalized edema and/or arthritis. Clinical examinations showed relative neutrophilia with lymphcytopenia, anemia, hypocomlementemia in all patients and proteinuria with hematuria in 2 cases （No 2, 3）. Erythema were recognized in only 2 younger cases （No 3, 5）. Mean weight increase due to edema was 2.2Kg. All 5 patients were positive for human parvovirus B19 IgM/IgG antibody. After treatment, CTR decreased 8.0% on an average, and elevated BNP levels markedly declined one month later in 3 cases （No 2, 3, 4）. %FS also reduced in these cases, and one case （No 4） observed slight degree of echo free space （probably pericardial effusion）.
When human parvovirus B19 is prevalent, differential diagnosis of the symptoms such as anemia, dyspnea, oligouria and polyarthralgia are mandatory. If human parvovirus B19 infection is suspected, virus-related cardiomyopathy should be considered. |
| 掲載誌名 |
四国医学雑誌
|
| ISSN | 00373699
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| cat書誌ID | AN00102041
|
| 出版者 | 徳島医学会
|
| 巻 | 61
|
| 号 | 5-6
|
| 開始ページ | 189
|
| 終了ページ | 194
|
| 並び順 | 189
|
| 発行日 | 2005-12-20
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| 備考 | |
| フルテキストファイル | |
| 言語 |
jpn
|
