抄録
A 75-year-old woman with a history of type 2 diabetes mellitus was admitted to our hospital with symptoms of asthenia. Laboratory results demonstrated a severe inflammatory response, abnormal kidney function, and hyperglycemia. Electrocardiography revealed atrial fibrillation. The patient was treated with antibiotics and insulin injection upon admission, and laboratory data relating to inflammation, kidney, and blood glucose level gradually improved. On the 4th day of hospitalization, chest contrast-enhanced computed tomography showed the existence of masses in both atria and the right pulmonary artery. The differential diagnosis of the left atrial mass included a thrombus and a neoplasm, such as an atrial myxoma. Because surgical removal of the masses, presumed to be thrombi, was declined by the patient, anticoagulation therapy (heparin i. v. followed by warfarin) was initiated. After 12 months of anticoagulation therapy, the masses disappeared completely without systemic embolization.
| 元の言語 | 英語 |
|---|---|
| ページ（範囲） | 219-222 |
| ページ数 | 4 |
| ジャーナル | Diabetology International |
| 巻 | 2 |
| 発行部数 | 4 |
| DOI | |
| 出版物ステータス | 出版済み - 12 1 2011 |
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All Science Journal Classification (ASJC) codes
- Internal Medicine
- Endocrinology, Diabetes and Metabolism
これを引用
A case report of type 2 diabetes mellitus with biatrial thrombi and pulmonary embolism caused by atrial fibrillation : Successful treatment with anticoagulant therapy. / Inoue, Tomoaki; Kobayashi, Kunihisa; Katsuragi, Takefumi; Ichino, Isao; Tanaka, Seiichi; Haji, Masafumi; Inoguchi, Toyoshi; Takayanagi, Ryoichi.
：: Diabetology International, 巻 2, 番号 4, 01.12.2011, p. 219-222.研究成果: ジャーナルへの寄稿 › 記事
}
TY - JOUR
T1 - A case report of type 2 diabetes mellitus with biatrial thrombi and pulmonary embolism caused by atrial fibrillation
T2 - Successful treatment with anticoagulant therapy
AU - Inoue, Tomoaki
AU - Kobayashi, Kunihisa
AU - Katsuragi, Takefumi
AU - Ichino, Isao
AU - Tanaka, Seiichi
AU - Haji, Masafumi
AU - Inoguchi, Toyoshi
AU - Takayanagi, Ryoichi
PY - 2011/12/1
Y1 - 2011/12/1
N2 - A 75-year-old woman with a history of type 2 diabetes mellitus was admitted to our hospital with symptoms of asthenia. Laboratory results demonstrated a severe inflammatory response, abnormal kidney function, and hyperglycemia. Electrocardiography revealed atrial fibrillation. The patient was treated with antibiotics and insulin injection upon admission, and laboratory data relating to inflammation, kidney, and blood glucose level gradually improved. On the 4th day of hospitalization, chest contrast-enhanced computed tomography showed the existence of masses in both atria and the right pulmonary artery. The differential diagnosis of the left atrial mass included a thrombus and a neoplasm, such as an atrial myxoma. Because surgical removal of the masses, presumed to be thrombi, was declined by the patient, anticoagulation therapy (heparin i. v. followed by warfarin) was initiated. After 12 months of anticoagulation therapy, the masses disappeared completely without systemic embolization.
AB - A 75-year-old woman with a history of type 2 diabetes mellitus was admitted to our hospital with symptoms of asthenia. Laboratory results demonstrated a severe inflammatory response, abnormal kidney function, and hyperglycemia. Electrocardiography revealed atrial fibrillation. The patient was treated with antibiotics and insulin injection upon admission, and laboratory data relating to inflammation, kidney, and blood glucose level gradually improved. On the 4th day of hospitalization, chest contrast-enhanced computed tomography showed the existence of masses in both atria and the right pulmonary artery. The differential diagnosis of the left atrial mass included a thrombus and a neoplasm, such as an atrial myxoma. Because surgical removal of the masses, presumed to be thrombi, was declined by the patient, anticoagulation therapy (heparin i. v. followed by warfarin) was initiated. After 12 months of anticoagulation therapy, the masses disappeared completely without systemic embolization.
UR - http://www.scopus.com/inward/record.url?scp=84870315023&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84870315023&partnerID=8YFLogxK
U2 - 10.1007/s13340-011-0047-6
DO - 10.1007/s13340-011-0047-6
M3 - Article
AN - SCOPUS:84870315023
VL - 2
SP - 219
EP - 222
JO - Diabetology International
JF - Diabetology International
SN - 2190-1678
IS - 4
ER -