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第３病日に診断を確定し，救命し得た重症レジオネラ肺炎の１例
http://hdl.handle.net/10091/11718
http://hdl.handle.net/10091/11718e9071aab-9dec-4b22-ab0a-27f000a317f4
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
Shinshu_med59-1-03.pdf (346.3 kB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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| 公開日 | 2011-02-15 | |||||
| タイトル | ||||||
| タイトル | 第３病日に診断を確定し，救命し得た重症レジオネラ肺炎の１例 | |||||
| 言語 | ||||||
| 言語 | jpn | |||||
| DOI | ||||||
| 関連タイプ | isIdenticalTo | |||||
| 関連識別子 | https://doi.org/10.11441/shinshumedj.59.27 | |||||
| 関連名称 | 10.11441/shinshumedj.59.27 | |||||
| キーワード | ||||||
| 主題 | Legionella pneumonia, Legionella pneumophila serogroup 1 レジオネラ肺炎, レジオネラ症, 血清群１ |
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| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | departmental bulletin paper | |||||
| 著者 |
山田, 重徳
× 山田, 重徳× 城下, 智× 村木, 崇× 山田, 雪× 岩谷, 勇吾× 横沢, 秀一× 古川, 賢一× 石田, 文宏× 田中, 榮司 |
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| 信州大学研究者総覧へのリンク | ||||||
| 表示名 | 城下, 智 | |||||
| URL | http://soar-rd.shinshu-u.ac.jp/profile/ja.PeLNbVym.html | |||||
| 信州大学研究者総覧へのリンク | ||||||
| 表示名 | 石田, 文宏 | |||||
| URL | http://soar-rd.shinshu-u.ac.jp/profile/ja.ueTCHhkh.html | |||||
| 信州大学研究者総覧へのリンク | ||||||
| 表示名 | 田中, 榮司 | |||||
| URL | http://soar-rd.shinshu-u.ac.jp/profile/ja.HFDCHekh.html | |||||
| 出版者 | ||||||
| 出版者 | 信州医学会 | |||||
| 引用 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | 信州医学雑誌 59(1): 27-31(2011) | |||||
| 書誌情報 |
信州医学雑誌 巻 59, 号 1, p. 27-31, 発行日 2011-02-10 |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | A 48-year-old man was admitted to our hospital after suffering from fever, dyspnea, and disturbance of gait for four days before admission. A chest X-ray taken in the emergency unit showed ground glass-like infiltrates in the left upper lung field and blood examinations demonstrated increases in serum CRP,CPK,and AST and a decrease in sodium.Bacterial pneumonia was diagnosed and the patient was started on intravenous administration of doripenem. On hospital day 2, a second chest X-ray revealed that the infiltration had worsened, causing exacerbation of his hypoxemia. We immediately shifted to a combination therapy of pazufloxacin,minomycin, and erythromycin since the Legionella species was suspected to be infecting bacterium. Legionella antigen present in urinalysis on day 3 confirmed this diagnosis. However, the patient’s respiratory condition had rapidly deteriorated, necessitating the use of a respirator. His condition gradually improved with the intensive treatment and he was discharged on hospital day 23. Prompt diagnosis and treatment is necessary for Legionella pneumonia since this disease is one of the main sources of communityacquired pneumonia causing severe symptoms despite of appropriate treatment. Thus, clinicians should bear Legionella pneumonia in mind when treating cases with suspected pneumonia who show the specific clinical findings of this disease,such as an increase in serum AST and a decrease in sodium | |||||
| 資源タイプ（コンテンツの種類） | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Article | |||||
| ISSN | ||||||
| 収録物識別子タイプ | PISSN | |||||
| 収録物識別子 | 0037-3826 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AN00120815 | |||||
| 出版タイプ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
