南予医学雑誌19巻

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南予医誌　Vol.19　No. １　2019－66－A case of constrictive pericarditis in a patient with a history of paragonimiasisAbstract　A 66-year-old female was admitted to our hospital because of palpitations and general fatigue. Chest computed tomography revealed severe calcification of the pericardium. In addition, hemodynamic measurements showed that the diastolic pressure was equal between the left and right ventricles, and that the blood pressure curve exhibited the typical dip and plateau “square-root configuration” of constrictive pericarditis. She underwent surgical pericardectomy and cardiac function improved immediately. We presume that the pericardial calcification was attributable to childhood paragonimiasis; she was positive for serum antibodies to Paragonimus westermanni and had no history of tuberculosis, radiation therapy, or thoracotomy. The T-SPOT test was negative. （Nan-yo Med J 2019; 19: 60-66.）Keywords: constrictive pericarditis, paragonimiasisTakuro KAZATANI1), Akiyoshi OGIMOTO2), Kiyotaka OHSHIMA2,Tamami KONO2), Shigehiro MIYAZAKI2), Yuta WATANABE2),Yuki YOKOMOTO2), Mareomi HAMADA2), Toshihiko SAKAO3)Shoichi MATSUKAGE4)1) Postgraduate Clinical Training Center2) Division of Cardiology3) Division of Cardiovascular Surgery4) Division of PathologyCorresponding Author: Akiyoshi Ogimoto, MD, PhD, FACP, FACC, FAHADivision of Cardiology, Uwajima City Hospital1-1, Goten-machi, Uwajima, Ehime 798-8510, JapanFax: +81-895-25-5334Tel: +81-895-25-1111E-mail: aogimoto-circ@umin.ac.jp