疣贅性病変が肺動脈弁に認められた細菌性心内膜炎の犬の1例
7歳,雌のフレンチ・ブルドッグが子宮蓄膿症手術の7日後に呼吸困難と失神を主訴に来院した.来院時には,X線検査において心拡大,心エコー図検査において肺動脈弁に付着する高エコー源性の腫瘤状異常構造物(15.0×5.8mm)による肺動脈狭窄,狭窄部後部拡張及び三尖弁逆流を認めた.内科療法によって臨床徴候は改善したが,第9病日に呼吸困難,意識消失のために再来院した.肺動脈弁の腫瘤は拡大(18.5×13.0mm)して肺動脈弁部の重度狭窄を呈していた.その後内科的治療に反応せず,第12病日に心停止した.肺動脈弁病変の組織診断は,線維性結合組織の増生を伴った疣贅性細菌性心内膜炎であり,本症例は肺動脈弁に疣贅...
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Published in | Nippon Juishikai zasshi Vol. 70; no. 6; pp. 375 - 379 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | Japanese |
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公益社団法人 日本獣医師会
01.06.2017
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Subjects | |
Online Access | Get full text |
ISSN | 0446-6454 2186-0211 |
DOI | 10.12935/jvma.70.375 |
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Abstract | 7歳,雌のフレンチ・ブルドッグが子宮蓄膿症手術の7日後に呼吸困難と失神を主訴に来院した.来院時には,X線検査において心拡大,心エコー図検査において肺動脈弁に付着する高エコー源性の腫瘤状異常構造物(15.0×5.8mm)による肺動脈狭窄,狭窄部後部拡張及び三尖弁逆流を認めた.内科療法によって臨床徴候は改善したが,第9病日に呼吸困難,意識消失のために再来院した.肺動脈弁の腫瘤は拡大(18.5×13.0mm)して肺動脈弁部の重度狭窄を呈していた.その後内科的治療に反応せず,第12病日に心停止した.肺動脈弁病変の組織診断は,線維性結合組織の増生を伴った疣贅性細菌性心内膜炎であり,本症例は肺動脈弁に疣贅を形成する感染性心内膜炎の稀有な例と診断された. |
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AbstractList | 7歳,雌のフレンチ・ブルドッグが子宮蓄膿症手術の7日後に呼吸困難と失神を主訴に来院した。来院時には,X線検査において心拡大,心エコー図検査において肺動脈弁に付着する高エコー源性の腫瘤状異常構造物(15.0×5.8mm)による肺動脈狭窄,狭窄部後部拡張及び三尖弁逆流を認めた。内科療法によって臨床徴候は改善したが,第9病日に呼吸困難,意識消失のために再来院した。肺動脈弁の腫瘤は拡大(18.5×13.0mm)して肺動脈弁部の重度狭窄を呈していた。その後内科的治療に反応せず,第12病日に心停止した。肺動脈弁病変の組織診断は,線維性結合組織の増生を伴った疣贅性細菌性心内膜炎であり,本症例は肺動脈弁に疣贅を形成する感染性心内膜炎の稀有な例と診断された。 7歳,雌のフレンチ・ブルドッグが子宮蓄膿症手術の7日後に呼吸困難と失神を主訴に来院した.来院時には,X線検査において心拡大,心エコー図検査において肺動脈弁に付着する高エコー源性の腫瘤状異常構造物(15.0×5.8mm)による肺動脈狭窄,狭窄部後部拡張及び三尖弁逆流を認めた.内科療法によって臨床徴候は改善したが,第9病日に呼吸困難,意識消失のために再来院した.肺動脈弁の腫瘤は拡大(18.5×13.0mm)して肺動脈弁部の重度狭窄を呈していた.その後内科的治療に反応せず,第12病日に心停止した.肺動脈弁病変の組織診断は,線維性結合組織の増生を伴った疣贅性細菌性心内膜炎であり,本症例は肺動脈弁に疣贅を形成する感染性心内膜炎の稀有な例と診断された. |
Author | 高島, 諭 北川, 均 岩佐, 達男 西飯, 直仁 岩佐, 直樹 酒井, 洋樹 岩佐, 和子 菅沼, 彰太 |
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References | [4] Oyama MA, Sisson DD, Thomas WP, Bonagura JD : Congenital Heart Disease, Textbook of Veterinary Internal Medicine, Ettinger SJ and Feldman EC eds, 7th ed, 1250-1298, Saunders, St.Louis (2010) [6] Akinosoglou K, Apostolakis E, Marangos M, Pasvol G : Native valve right sided infective endocarditis, Eur J Intern Med, 24, 510-519 (2013) [12] Sykes JE, Kittleson MD, Pesavento PA, Byrne BA, MacDonald KA, Chomel BB : Evaluation of the relationship between causative organisms and clinical characteristics of infective endocarditis in dogs: 71 cases (1992-2005), J Am Vet Med Assoc, 228, 1723-1734 (2006) [10] Vaideeswar P, Jawale RM, Tullu M : Isolated infective endocarditis of the pulmonary valve: an autopsy analysis of nine cases, Cardiovasc Pathol, 231-235 (2009) [3] Nakatani S, Mitsutake K, Ohara T, Yoshihiro Kokubo Y, Yamamoto H, Hanai S, on behalf of the CADRE investigators : Recent picture of infective endocarditis in Japan, Circ J, 77, 1558-1564 (2013) [1] Macdonald K : Infective endocarditis in dogs diagnosis and therapy, Vet Clin North Am Small Anim Pract, 40, 665-684 (2010) [7] Post KW, Ruxhton SD, Billington SJ : Valvular endocarditis associated with Helcococcus ovis infection in a bovine, J Vet Diagn Invest, 15, 473-475 (2003) [2] Sykes JE, Kittleson MD, Chomel BB, Macdonald KA, Pesavento PA : Clinicopathologic findings and outcome in dogs with infective endocarditis: 71 cases (1992-2005), J Am Vet Med Assoc, 228, 1735-1747 (2006) [5] MacDonald KA, Chomel BB, Kittleson MD, Kasten RW, Thomas WP, Pesavento P : A prospective study of canine infective endocarditis in northern California (1999-2001): emergence of Bartonella as a prevalent etiologic agent, J Vet Intern Med, 18, 56-64 (2004) [8] Sisson D, Thomas WP : Endocarditis of the aortic valve in the dog, J Am Vet Med Assoc, 184, 570-577 (1984) [9] Ramadan FB, Beanlands DS, Burwash IG : Isolated pulmonic valve endocarditis in healthy hearts: a case report and review of the literature, Can J Cardiol, 16, 1282-1288 (2000) [11] Durack DT, Lukes AS, Bright DK : New criteria for diagnosis of infective endocarditis: utilization of specific echocardiographic findings, Duke Endocarditis Service, Am J Med, 96, 200-209 (1994) |
References_xml | – reference: [9] Ramadan FB, Beanlands DS, Burwash IG : Isolated pulmonic valve endocarditis in healthy hearts: a case report and review of the literature, Can J Cardiol, 16, 1282-1288 (2000) – reference: [7] Post KW, Ruxhton SD, Billington SJ : Valvular endocarditis associated with Helcococcus ovis infection in a bovine, J Vet Diagn Invest, 15, 473-475 (2003) – reference: [5] MacDonald KA, Chomel BB, Kittleson MD, Kasten RW, Thomas WP, Pesavento P : A prospective study of canine infective endocarditis in northern California (1999-2001): emergence of Bartonella as a prevalent etiologic agent, J Vet Intern Med, 18, 56-64 (2004) – reference: [6] Akinosoglou K, Apostolakis E, Marangos M, Pasvol G : Native valve right sided infective endocarditis, Eur J Intern Med, 24, 510-519 (2013) – reference: [11] Durack DT, Lukes AS, Bright DK : New criteria for diagnosis of infective endocarditis: utilization of specific echocardiographic findings, Duke Endocarditis Service, Am J Med, 96, 200-209 (1994) – reference: [12] Sykes JE, Kittleson MD, Pesavento PA, Byrne BA, MacDonald KA, Chomel BB : Evaluation of the relationship between causative organisms and clinical characteristics of infective endocarditis in dogs: 71 cases (1992-2005), J Am Vet Med Assoc, 228, 1723-1734 (2006) – reference: [8] Sisson D, Thomas WP : Endocarditis of the aortic valve in the dog, J Am Vet Med Assoc, 184, 570-577 (1984) – reference: [2] Sykes JE, Kittleson MD, Chomel BB, Macdonald KA, Pesavento PA : Clinicopathologic findings and outcome in dogs with infective endocarditis: 71 cases (1992-2005), J Am Vet Med Assoc, 228, 1735-1747 (2006) – reference: [3] Nakatani S, Mitsutake K, Ohara T, Yoshihiro Kokubo Y, Yamamoto H, Hanai S, on behalf of the CADRE investigators : Recent picture of infective endocarditis in Japan, Circ J, 77, 1558-1564 (2013) – reference: [1] Macdonald K : Infective endocarditis in dogs diagnosis and therapy, Vet Clin North Am Small Anim Pract, 40, 665-684 (2010) – reference: [10] Vaideeswar P, Jawale RM, Tullu M : Isolated infective endocarditis of the pulmonary valve: an autopsy analysis of nine cases, Cardiovasc Pathol, 231-235 (2009) – reference: [4] Oyama MA, Sisson DD, Thomas WP, Bonagura JD : Congenital Heart Disease, Textbook of Veterinary Internal Medicine, Ettinger SJ and Feldman EC eds, 7th ed, 1250-1298, Saunders, St.Louis (2010) |
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SubjectTerms | 犬 疣贅性細菌性心内膜炎 肺動脈弁 |
Title | 疣贅性病変が肺動脈弁に認められた細菌性心内膜炎の犬の1例 |
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ispartofPNX | 日本獣医師会雑誌, 2017/06/20, Vol.70(6), pp.375-379 |
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